2024 Programming Scholarship Application for Child Care, Preschool, Youth Sports, Swim Lessons, Gymnastics, Life Skills, and more!

¿Buscas la versión en español? Haga clic aquí.

The YMCA at ACRC is a non-profit organization committed to our mission of putting Christian principles into practice through programs that build a healthy spirit, mind and body for all. We are here to serve people of all ages, backgrounds, abilities and incomes. That’s why we offer scholarships.

The 2024 funds available for scholarships are made possible through a grant from the Hormel Foundation. This is an annual scholarship that will expire at the end of this year or when the funding runs out, whichever comes first. We believe a strong sense of ownership and pride is developed if the recipient has contributed to the cost of their YMCA involvement; therefore, applicants will be asked to pay some portion of the fees (a maximum of 20% discount for school aged care, a maximum of 50% discount for life skills and youth sports). Please help us understand your need:

Parent/Adult First Name *

Parent/Adult Last Name *

Date of Birth * +

Race/Ethnicity *

Other *

Address 1 *

Address 2

City *

State *

Zip Code *

Email Address *

Phone *

Do you currently have YMCA Membership? *

Yes

No

Applying

Adults in household

Number of adults in household *

Name of additional adult in household *

Do you have any additional adults in your household that you need to add? *

Yes

No

Name of additional adult in household *

Do you have any additional adults in your household that you need to add? *

Yes

No

Name of additional adult in household *

Children in household

Number of children in your household *

Child 1 - Name *

Child 1 - Date of Birth * +

Do you have any additional children in your household? *

Yes

No

Child 2 - Name *

Child 2 - Date of Birth * +

Do you have any additional children? *

Yes

No

Child 3 - Name *

Child 3 - Date of Birth * +

Do you have any additional children? *

Yes

No

Child 4 - Name *

Child 4 - Date of Birth * +

Do you have any additional children? *

Yes

No

Child 5 - Name *

Child 5 - Date of Birth * +

Do you have any additional children? *

Yes

No

Child 6 - Name *

Child 6 - Date of Birth * +

Program Information

Program of Interest *

Financial Information

Please make sure all information that you supply is the information requested or your application may not be considered.

Did you file taxes this past year? *

Yes

No

Upload 1st page of 1040 tax return *

Upload 3 months of employment stubs for all working family members *

Do you currently participate in: *

SNAP case number *

How will this benefit you?

Please share with us how a scholarship will benefit you and your family. Include any additional information or extenuating circumstances. *