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. Most financial aid awards are $185. In certain circumstances additional aid may be awarded.
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*
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.
Please upload one verification of income for each parent/guardian responsible for student applying for scholarship assistance. Acceptable files are most recent paystubs, W-2, bank statement. No form required for parents with no income (please note in "other information" section of application. *

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YMCA Youth in Government High School Financial Aid Application

High School Model Legislature and Court Conference Financial Aid Form