2022 Financial Aid Application

Financial Assistance Application
To be considered for financial aid for the summer, please complete this form and attach the required documentation. Only complete applications will be considered.

All financial aid applications must be submitted by May 27, 2022. No applications will be considered after this date.
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

Area Code Phone Number
Please list names (including last names if different), gender, and birth date of everyone residing in your household. (ie, John Doe, M, 1/25/15) *
Email *
example@example.com
Preferred Club?

Aberdeen Bel Air Edgewood Havre de Grace
What is current, combined household income? *
Have you filed 2020 or 2021 federal tax return-form 1040? *
Submit Copy of most recent (2020 or 2021) federal tax form *

Browse Files

Cancel of
Submit most recent (2021) W-2 *

Browse Files

Cancel of
Submit ONE of the following: *

Browse Files
Last 2 paystubs for ALL household members, Retirement Income Documentation, Social Security or disability award letter, OR Unemployment income verification Cancel of
If you have not filed 2020 OR 2021 federal tax return, please submit a copy of all documents that apply below:

Last 2 pay stubs (for all household members)

Retirement Income Documentation

Social Security or disability award letter

Unemployment income verification
Upload all applicable documents from step above. *

Browse Files

Cancel of
The information I have provided on this form is complete and correct and I agree to provide additional documentation upon request. I understand that BGCHCC offers financial assistance to the extent that resources are available. I also understand that my current account with BGCHCC must be in good standing for consideration of this application. *

Yes
Signature *

Clear
Should be Empty:

Financial Assistance Application