Fillable Financial Aid Policy PURPOSE To provide assistance to (City of Winchester)

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Financial Aid Policy PURPOSE To provide assistance to (City of Winchester)

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U.S.A. forms for City of Winchester

BROWSE CITY OF WINCHESTER (VA) FORMS

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Financial Aid Policy
GUIDE
• For City of Winchester residents only.
• Financial aid applications must be submitted in advance to allow processing and approval by Program
Coordinators. Please allow two weeks for this process.
• All information provided is kept confi dential and is necessary to help determine the amount of aid given.
• Spaces for programs are limited and accepted fi rst come-fi rst serve.
• One request per participant per period:
1) January-April, 2) May-August, and 3) September-December. Childcare requests will be considered for the length of
period.
• Once your fi nancial aid application has been approved, participant must follow normal registration procedures.
• Participants requesting child care assistance will be given a letter with detail information on the approval of their
application. The letter must be signed by the parent/guardian and Winchester Parks and Recreation Program
Coordinator. Failure to adhere to the payment plan will result in the fi nancial aid being voided; future fi nancial aid
requests denied; and participant will not be permitted to participate in other WPRD programs until outstanding
balances are paid in full.
• Financial aid can be requested for programs only. Financial aid cannot be applied to child care registration fees, activity
fees (i.e. fi eld trips), memberships or rentals.
• Financial aid funds are limited and will be awarded when funds are available. All fi nancial aid funds are
administered by the Winchester Parks Foundation.
APPLICATION PROCESS
The following must be turned into Winchester Parks and Recreation Department to be considered for assistance. Failure
to provide/falsify any of the below will result in your application being returned and voided.
a. Completed Scholarship Application
b. Proof of Residency (ex: driver’s license, utility bill)
c. Proof of Income (for all income in the household, one of the following):
i. Previous year W2
ii. Paycheck stubs - Last two consecutive pays
iii. Unemployment
d. Include the following for all household members if applicable:
i. Child Support
ii. Disability
iii. SNAP/TANF (Food Stamps)
e. Foster Parents and Group Homes
i. State License
ii. Copy of Child’s birth certifi cate
PURPOSE
To provide assistance to families in diffi cult fi nancial situations to allow them to participate in
Winchester Parks and Recreation programs.
Financial Aid Request
Parent/Guardian: _____________________________________________________ Date: ______________
Address: _________________________________________________________________________________
City: _____________________________________________ State: __________ Zip: __________________
Daytime Phone: _______________________________ Evening Phone: _____________________________
# of children living in the home: ____________ # of adults in the household: ____________
Choice Child’s Name Birth Date Class/Activity Name Activity # Fee
1
2
3
4
ACTIVITIES: PERIOD: January-April May-August September-December
List in the chart below. Circle one.
INCOME INFORMATION:
Total yearly family income (include child support if applicable):
$0 - $12,000 $12,001 - $18,000 $18,001 - $24,000
$24,001 - $30,000 $30,001 - $36,000 $36,001 +
By completing this application and signing below, I give permission to the City of Winchester Parks &
Recreation Department to use the enclosed and attached information to evaluate my eligibility for fi nancial
assistance. I declare that the statements on this application are true to the best of my knowledge. I understand
that the above information is confi dential.
____________________________________________________ _____________________
Applicant’s Signature Date
RELEASE AND SIGNATURE:
DEPARTMENT
USE
ONLY
Approval: Y N Amount: $ Date:
Staff Signature:
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Financial Aid Policy PURPOSE To provide assistance to (City of Winchester)

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Completed 5 August 2020

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