YMCA Youth in Government Middle School Scholarship 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.
Middle School Model Legislature Conference Scholarship Form
Street Address Line 2
State / Province
Postal / Zip Code
Please enter a valid phone number.
Parent 1 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.
Other (please describe)
Please describe any circumstances, outstanding expenses, or other additional information that may help us better assess your application.
Should be Empty: