Membership & Program Support Application
Thank you for your interest in YMCA financial assistance. We offer financial assistance to individuals and families who are not able to pay full fees for Y memberships and/or programs. Please bring all the following information to the YMCA Welcome Center to apply for financial assistance.
Completed and signed financial assistance application along with a separate sheet indicating why you are applying for financial assistance.
A copy of your most recent federal income tax return (not W2 If you do not file federal
income taxes, call 1-800-TAX-FORM (1-800-829-3676) or go to www.irs.gov and fill out
Form 4506-T to request a Verification of Non-filing letter (required
Two most recent paycheck stubs or letters from your employer verifying your employment and stating your annual salary. If you are unemployed, draw social security or a full-time student; please provide a summary of your unemployment benefits, SSI paperwork, financial aid benefits, and a dated student schedule.
Please mark out all social security numbers, tax ID numbers, and credit card numbers be- fore submitting any paperwork. Bring all completed forms and necessary paperwork to the YMCA Welcome Desk. Be sure to include all of the needed items and paperwork, as missing documentation will slow down the application evaluation process. You will receive all letters within 30 days regarding your qualifications and the next steps.
We look forward to serving you!
Sincerely,
Rich Haight
CEO
Family YMCA of NW IL