MLC Youth and Government East Bay: Financial Aid Application 2025-2026

YOUTH & GOVERNMENT
YMCA OF THE EAST BAY - FINANCIAL AID APPLICATION
The YMCA of the East Bay strives to provide everyone access to Youth & Government. Financial aid is awarded to applicants using a sliding scale. Available funds for financial aid may differ from year to year depending on the program budget.

Financial aid awards are valid for one year.

All applications will be confidential. Incomplete applications will not be processed.
Student Delegate Name*
Delegation*
Number of people currently living in household*
Parent/Guardian #1 Name*
Email*
example@example.com
Gross Yearly Income (employer or public assistance)*
Parent/Guardian #2 Name
Gross Yearly Income (employer or public assistance)
Child Support or additional income
If family receives public assistance:
CalWorks Social Security Disability Unemployment Other
Social or Eligibility Worker's Name
ID #
Case #
Medical or Food Stamp #

PERSONAL STATEMENT: If you would like to provide more context regarding your request for financial aid, please use the space below.
I certify that the information submitted in this Financial Aid Application is correct.
Parent/Guardian FULL Name*
Parent/Guardian Signature*

Clear
Date

MonthDayYear
Date
Cost of Y&G
Should be Empty:

YOUTH & GOVERNMENT