Use the following forms to apply for assistance:
CLICK on: MEMBERSHIP FOR ALL APPLICATION & information (required for everyone seeking financial assistance). PLEASE READ THROUGH PAGE 1 of this application for important details related to Membership for ALL. This form may be completed by printing and filling out this linked form or may be completed at our facility.
The MEMBERSHIP FOR ALL (financial assistance) program follows a sliding fee scale, designed to fit each individual’s financial situation*. In order to foster a sense of ownership in the Y, you will be asked to pay some portion of the fees for membership and/or programs. *Individuals with a special circumstances, such as a job loss or other financial challenges, are also encouraged to apply for assistance.
The funds available for MEMBERSHIP FOR ALL are made possible through the generosity of our members and donors through the Community Partners annual support campaign. Scholarships are awarded to applicants on a first-come, first-serve basis, subject to available funds and eligibility.
In order to provide financial assistance in a fair and consistent manner, the Parkview Huntington Family YMCA requires that individuals provide the requested information, on the financial assistance application, regarding income, family size, and expenses. All personal information is kept confidential. The Y will review assistance eligibility every six months. All financial assistance recipients must re-apply and fees are subject to change after six months. If you do not re-apply when requested, your enrollment will be terminated.
To process your application, we need the following information:
· A copy of any financial support through social security or disability
· A copy of any documentation of any Federal Assistance such as Food Stamps, Welfare, Rent Subsidy or Aid to Dependent Children
Optional information that may help you qualify for a greater discount on membership dues:
· A copy of the front page of the most recent years tax return, listing the gross income for each adult
· A copy of last month’s pay stubs from each adult in the household
A Y Director will determine financial assistance eligibility after thoroughly reviewing your application. Your application will not be processed until all required documents are
provided. Upon approval of your application, an e-mail will be sent to you informing you of your approval and will list the amount of your portion of the fee.
