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The form explains that all applicants are welcome and that scholarship amounts are determined fairly and consistently without changing the standard benefits shared by YMCA members. 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Members receiving assistance still receive the same membership and program benefits as other YMCA members.",{"name":115,"@type":106,"acceptedAnswer":116},"Can annual campaign support eliminate membership or program fees?",{"text":117,"@type":109},"Annual Campaign Fund support reduces membership and program fees but does not eliminate them. Fees may also change upon annual review.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},302911,1790119253,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":47,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":73,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":9},962085571259,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","ACCESS FOR ALL  \nMembership & Program Support Application  \nEVERYONE IS WELCOME  \nThe La Porte County Family YMCA welcomes all who wish to participate and believes no on should be denied membership or programs based on their ability to pay. Through our Annual Campaign, the Y provides membership and program assistance to youth, adults, and families based on individual need and circumstances.  \nCOMMITED TO OUR COMMUNITY  \nThe La Porte County Family YMCA determines scholarship amounts in a fair, consistent manner. Every YMCA member receives the same membership and program benefits, regardless of whether they receive a scholarship. YMCA members and program participants can feel confident knowing that they are part of an organization that cares greatly for the well-being of all people and is committed to youth development, healthy living, and social  \nresponsibility.  \nTO QUALIFY, PROVIDE THE FOLLOWING DOCUMENTS:  \nI FILED FEDERAL TAXES  FOR LAST YEAR   \n 1040 Federal Tax Form(s) for all incomes in household  \n I am an individual filing jointly; I am providing ONE 1040 form  \n We filed more than ONE tax form in our household; we are providing  1040 forms  \n$   TOTAL ANNUAL HOUSEHOLD INCOME  \nI DID NOT FILE FEDERAL TAXES LAST YEAR or MY HOUSEHOLD INCOME HAS CHANGED  SINCE I FILED TAXES FOR LAST YEAR   \n(If you file taxes, you must provide your most recent tax return.)  \n$  \nDocuments showing most recent 30 days of income  \nIncluding pay stubs or documentiation of government assistance)  \n X 12= 30 DAYS INCOME Months  \n$   TOTAL ANNUAL HOUSEHOLD INCOME  \nFOR MEMBERSHIP STAFF USE Date   \nYou met with enrollment specialsts:  and    \nYou have been pre-approved for a monthly rate of $  with an enrollment fee of $  with a program subsidy of   % This pre-approval is valid for 30 days and subject to verification.  \nLA PORTE COUNTY FAMILY YMCA  \nMEMBERSHIP & PROGRAM SUPPORT APPLICATION  \n1 APPLICANT INFORMATION  \nName  Email  Mailing Address  City  State  Zip Code  Home Phone  Cell Phone  If applicant is under 18: Parent or legal guardian’s name  \n2 ALL PERSONS LIVING IN THIS HOUSEHOLD  \nPlace a check mark for each family member applying for assistance  Parent/Guardian/Adult  DOB   Parent/Guardian/Adult  DOB   Child  DOB   Child  DOB   Child  DOB   Child  DOB   Child  DOB   Other dependent(s) Age(s)   \nIAM APPLYING FOR  \nPlace a check mark for each family member applying for assistance  \n YOUTH ( ages 12-17)  \n YOUNG ADULT ( ages 12-17)  ADULT ( ages 12-17)  \n SENIOR ( ages 12-17)  SINGLE-PARENT FAMILY  FAMILY  \n DAYS OUT CAMP  SUMMER CAMP  YOUTH SPORTS  SWIM LESSONS  \n EVIDENCE-BASED PROGRAMS  \n4 MONTHLY HOUSEHOLD INCOME  \nYour gross income from all wages and salaries $  Spouses gross income from all wages and salaries $  Do you receive child support? If so, how much $  Social Security of SSI $  Food Stamps $  Unemployment Benefits $  Workers Compensation $  Pension/Retirement Benefits $  Cash Income $  Investments (Savings, CD’s, Stocks, Bonds, Etc.) $  Alimony $   \nPLEASE NOTE  \n Support from our Annual Campaign Fund reduces membership and program fees; it does not eliminate them  \n Membership and program fees are subject to change upon annual review  \n Support is granted following an interview with a staff members and a review of all documentation. The YMCA reserves the right to request additional information when necessary","cbCaifbtI52GHi3S","https://ap.wps.com/l/cbCaifbtI52GHi3S","pdf",185522,"English","# Applicant information\n# All persons living in this household\n# Evidence-based programs\n# Monthly household income","[{\"question\":\"What documents are required to qualify for membership and program support?\",\"answer\":\"Applicants must provide evidence of federal tax filings for the last year, usually a 1040 form, or if they did not file or income changed, documents showing the most recent 30 days of income, including pay stubs or proof of government assistance.\"},{\"question\":\"How does the YMCA determine scholarship amounts?\",\"answer\":\"Scholarship amounts are determined in a fair and consistent manner. Members receiving assistance still receive the same membership and program benefits as other YMCA members.\"},{\"question\":\"Can annual campaign support eliminate membership or program fees?\",\"answer\":\"Annual Campaign Fund support reduces membership and program fees but does not eliminate them. Fees may also change upon annual review.\"}]","LPYMCA-Scholarship-Application-Form | PDF",1789798579]