Scholarship Application By Cole Wilson Posted September 16, 2020 In Scholarship Application2020-09-162020-09-16https://valdostaymca.org/wp-content/uploads/2017/08/ymca_grn_cmyk_r-1.pngValdosta YMCAhttps://valdostaymca.org/wp-content/uploads/2017/08/ymca_grn_cmyk_r-1.png200px200px 0 In addition to your online scholarship application, Please provide proof of all income: Food Stamps, Alimony, Social Security, Wages, housing Assistance or other income. Apply Online Note: All adults in the household must be working, or claim disability, including full-time college students, in order to receive assistance for the YMCA scholarship program.Scholarship applications take approximately two weeks to process. Incomplete forms and/or missing documentation will delay processing.*First Name of Applicant*Middle Initial*Last Name Of Applicant*DOB*Age*Home Address*City*State*Zip*Phone*Email*For which program are you applying for a scholarship? ChildCare Membership Aquatics Gymnastics Parent 1 Full NameParent 2 Full NameAddressCounty of ResidencySingle Parent Household? Yes No *Please list ALL Persons currently living at your addressAre you or anyone in the household enrolled as a full-time college student or in a training program? Yes No If Yes, please provide name of studentPlease list school attendingDoes this student receive financial aid? Yes No Please list current employment information for resident 1 in your householdEmployer, Phone Number, Hours worked weekly, Hourly Wage, Monthly Income weekly,Please list current employment information for resident 2 in your household.Employer, Phone Number, Hours worked weekly, Hourly Wage, Monthly Income weekly,Please list current employment information for resident 3 in your householdEmployer, Phone Number, Hours worked weekly, Hourly Wage, Monthly Income weekly,Please list current employment information for resident 4 in your householdEmployer, Phone Number, Hours worked weekly, Hourly Wage, Monthly Income weekly,Other Sources of Income (If Zero, answer with $0.00)*Alimony/Child Support Amount$200.00, Monthly*Workers Compensation*Fed Program Income (SSI, VA, etc)VA - $700.00, Monthly / SSI - $300.00, Monthly*TANF IncomeUnemployed Benefits*Housing Assistance*Food Stamp AmountSummary of Monthly ExpensesYou must provide proof that you are actively pursuing Child Support Enforcement service or you will not qualify for Financial Assistance. The information must be accompanied be the corresponding verification.Please list monthly amount below*Rent/Mortgage Amount*Groceries Amount*Electricity Amount*Phone Amount*Gas Amount*Automobile Insurance AmountCable AmountPlease explain why you or your child would like to be considered for a scholarship at the Valdosta YMCA. Please include any extenuating circumstance not already covered in this application.*Please upload your current proof of residencyCurrent school schedule, if applicable*Six weeks of all income 1File 1*Six weeks of all income 2File 2Six weeks of all income 3File 3Six weeks of all income 4File 4Any other income Fields with (*) are compulsory. Application Progress Cole Wilson
