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REQUEST FOR FINANCIAL
ASSISTANCE
The YMCA of Montgomery Partners with Youth Program
The Montgomery YMCA has made a commitment to our community to provide access to our facilities and
programs regardless of ability to pay and the Y is able to fulfill this commitment with the support of our
annual Partners with Youth campaign donors.
**If you do not provide the required documentation, your application process will be
delayed until all documentation is received and application is filled out completely.**
Please allow at least 30 days to process your application.
After this period, you may call the YMCA to
see if your application has been approved or to see if additional information is needed.
If you have provided a valid email address,
you will receive notification via email once the application has
been processed stating whether or not you have been approved.
If no email address is provided, you will
be sent a letter via regular mail.
The Montgomery YMCA requires that individuals reapply when requested to keep the information on their
application updated.
Your fees are subject to increase when you reapply.
If you do not reapply when
requested, your enrollment may be terminated or increased to the regular membership rate.
Note:
If you do not have a copy of your recent tax return, you may obtain one by calling the IRS. If you
did not file taxes this year, or if you do not have the other documents required, please submit a letter
explaining your personal situation.
To process your financial assistance application, please provide all applicable documentation (for a
family membership, each working adult needs to provide their proof of income):
Completed Financial Assistance Application
Copy of most recent tax return
Copy of two recent pay stubs for each working person within the household
Copy of social security or disability checks (if receiving)
Copy of recent welfare benefits, food stamps, and/or section 8 housing letter (if applicable)
Copy of unemployment benefits statement (if applicable)
If you have no income, a notarized letter from person(s) who provide your monthly living expenses