Welcome to All at the Williams County YMCA
Thank you for your interest in the People Helping People Scholarship program. Our financial assistance scholarships are made possible through generous community donations to our Annual Campaign and through assistance from the United Way of Williams County. All financial assistance is granted on a sliding scale based on income and need.
Name
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First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Please enter a valid phone number.
Email
*
example@example.com
Membership type for which you are applying?
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Please Select
Individual
Two Adults & Children
Student/Youth
One Adult & Children
Senior
Senior Couple
Please list each person living in your household, including yourself. Name, and date of birth
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To qualify for scholarship, the following information and required documentation must be provided. Please list the total monthly gross income for the entire household.
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Please indicate and upload all other sources of applicable income
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Please upload all sources of income indicated above.
*
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Help Us Understand Your Needs! Please indicate and provide detail as needed if any of the following is applicable: Recent changes to household income, if any individuals in the household have special needs, any additional information that is applicable for us to know to help us determine your membership rate
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