YMCA of Greenwich Scholarship Application

YMCA of Greenwich Scholarship Application

Membership-For-All
Date*

MonthDayYear
Date
IMPORTANT: Daxko Account must be created for all family members BEFORE submitting scholarship application. Account creation is free of cost.

Daxko Link

Program participants must be ACTIVE members prior to registration to use any program, childcare or camp scholarship awarded.
Applicant Information
Primary Adult Name*

First NameLast Name
Phone (Best # to call)*
Format: (000) 000-0000.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Income Document Upload (REQUIRED)

Application will NOT be reviewed without income documents. Please upload the most recent documents that show the current financial status of all working adults in your household. Check the box of each document you are providing.
Document Selection (please take photo or upload a PDF file)*

1040 Federal Tax Forms Page (Do NOT upload all tax pages)Last 3 Months of Pay StubsLetter From Employer (Containing Monthly Salary, Length of Employment and Employer's Name & Phone Number)Unemployed (Provide Appropriate Documents)
File Upload*

Cancelof
Should be Empty:

Applicant Information