YMCA Youth in Government High School Financial Aid Application

YMCA Youth in Government High School Financial Aid Application

Information is confidential and will be used to determine eligibility for YMCA scholarships. Incomplete applications will not be considered. The YMCA may request additional information in order to determine scholarship eligibility and award amount. Students approved for a scholarship to the Model Legislature and Court Conference will be responsible for the $100 dues and the $215 hotel fee, but will not pay the $175 conference fee.
High School Model Legislature and Court Conference Financial Aid Form
Student Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
School
School*
Phone Number
Please enter a valid phone number.
Parent 1 Name

First NameLast Name
Parent 1 email
Parent 1 Employer
Parent 1 Position/Job
Parent 1 Wages/Salary - Please describe hourly or weekly, with average hours per week if hourly.
Parent 2 Name
Parent 2 email
Parent 2 employer
Parent 2 position
Parent 2 Wages/Salary - please describe hourly or weekly, and average hours if hourly.
Rent/Mortgage Amount
Utilities
Car payments/insurance
Food
Medical
Other (please describe)
Please describe any circumstances, outstanding expenses, or other additional information that may help us better assess your application.
Should be Empty:

High School Model Legislature and Court Conference Financial Aid Form