WHY THE Y? (scroll to read more)

THE ESSENCE OF THE Y

With a commitment to nurturing the potential of kids, promoting healthy living and fostering a sense of social responsibility, the YMCA at ACRC ensures that every individual has access to the essentials needed to grow, learn and thrive.

EVERYONE IN MOWER COUNTY IS WELCOME

The YMCA at ACRC welcomes all who wish to participate and believes that no one should be denied access to the Y based on their ability to pay. Through our Financial Assistance Program, the YMCA at ACRC provides assistance to youth, adults and family based on individual needs and circumstances within Mower County.

COMMITTED TO OUR COMMUNITY

Determining assistance amounts is handled by the Member Engagement Director in a confidential, fair and consistent manner. Every YMCA member receives the same membership benefits, regardless of whether or not they receive assistance. Y members can feel confident knowing that they are a part of an organization that cares greatly for the well-being of all people.

FAQ's (scroll to read more FAQ's)

APPLICANT INFORMATION

How is the Financial Assistance amount determined?
Financial assistance is based on gross monthly income, family size and personal circumstances when you apply. Gross monthly income includes wages/salary of all individuals contributing to the household income, as well as unemployment, child support, disability income, social security income, government assistance and retirement income. Assistance will be granted to the extent funds are available.

What is the duration of assistance and how do I renew?
Financial Assistance is given in 12 month increments. Near the end of the 12 months, you will receive a renewal notice by E-mail, providing you have been using the facility. Use of the facilities is a determining factor in decisions concerning renewals. If you decide to renew your membership, call the Membership Directorat 507.433.1804, ext. 107, to make payment arrangements. Membership fees and assistance are subject to change when you reapply.

I have additional questions and special circumstances. Who should I contact to find answers?
If you have additional questions or want to discuss special circumstances, please contact our Membership Director, Maggie Moore at 507.433.1804 or by email (mmoore@ymcaatacrc.org. She will be happy to answer any of your questions in a confidential manner.

Does Financial Assistance cover the entire cost of membership and program fees?
Financial assistance reduces fees, it does not eliminate them. Financial assistance can be used towards membership fees, program fees for your sports & activities, child care, preschool and other Y programs.

What if I haven't filed Federal Income Tax?
If you haven't filed a Federal Income Tax you need to contact the Internal Revenue Service at 1.800.829.8374 to request a letter of verification of non-filing status and submit it to our Member Engagement Director.

When should I expect my application to be processed?
Completed applications containing all the necessary paperwork will be reviewed within two weeks. Your request for assistance may be denied or put on hold without all the required paperwork.

Full Name *

Date of Birth * +

Gender *

Female

Male

Unspecified

Have you applied for Financial Assistance with us before? *

No

Yes

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

ALL PERSONS LIVING IN THE HOUSEHOLD

Parent/Guardian

Date of Birth +

Gender

Female

Male

Unspecified

Parent/Guardian

Date of Birth +

Gender

Female

Male

Unspecified

Child

Date of Birth +

Gender

Female

Male

Unspecified

Child

Date of Birth +

Gender

Female

Male

Unspecified

Child

Date of Birth +

Gender

Female

Male

Unspecified

Child

Date of Birth +

Gender

Female

Male

Unspecified

Child

Date of Birth +

Gender

Female

Male

Unspecified

Other Dependent(s)

Date of Birth +

Gender

Female

Male

Unspecified

TYPE OF ASSISTANCE

I am applying for Assistance for: *

Membership

Programming

Membership Type *

Programming *

TO QUALIFY FOR ASSISTANCE, PROVIDE THE FOLLOWING INFORMATION

In order to process your application, DOCUMENTS MUST BE PROVIDED!

I confirm that I am a Mower County Resident *

Yes

Please select ALL that apply to you: *

1040 Federal Tax *

Alimony *

Child Support *

Disability *

Government Assistance *

Parent Support *

Proof of Non-Filing *

Retirement *

Social Security *

Unemployment *

Upload ALL documents pertaining to the fields you selected above *

Total Monthly Income *

x 12 months

= Total Annual Household Income *

TELL US MORE

Please explain why you would like to be considered for financial assistance at the Y and what it would mean to you and/or your family. Also include any additional information or extenuating circumstances that are not included in this application. *

TEMS & CONDITIONS

I certify that the above information is true and complete to the best of my knowledge, and that I do not have additional income not represented above. I agree, if necessary, to send additional information and document to support the above statements. I understand that assistance is based on need and in the event that I or my children must cancel our participation. I will contact the Y immediately so assistance can be provided to others. I understand that if I falsify information, I will not be eligible for assistance now and/or in the future. I understand that my/our membership privileges are subject to the same policies of a full paying membership. I understand that if I do not provide the required documentations for financial assistance or renewal of assistance, my membership will be canceled.

By signing this document, I agree to the terms and conditions of the Financial Assistance Application. *

clear

1040 Federal Tax Form	Alimony	Child Support
Disability	Government Assistance	Parental Support (if under 18)
Proof of Non-Filing	Retirement	Social Security
Unemployment