SCHOLARSHIP APPLICATION
PROVIDING ACCESS FOR ALL
The YMCA of Metropolitan Los Angeles (the “Y”) is a non-prot organization. Through donations and grants, we are able to
provide nancial assistance to families in need. Everyone is welcome to apply. Financial aid is based on veried need without
regard to race, color, creed, national origin, citizenship, religion, gender, sex, age, ancestry, marital status, registered domestic
partner status, protected military or veteran status, disability, pregnancy, childbirth or related medical condition, sexual
orientation, gender identity or expression, genetic information or any other basis protected by applicable law.
Although completion of this application does not guarantee a nancial assistance award, it is designed to ensure a fair
distribution of resources throughout the Los Angeles community. It requires income information for all individuals in the
household regardless of their intention to be a part of the YMCA. The information submitted will remain condential to the
extent possible and only will be shared with those who have a legitimate business need to know such information. Such
information will be stored securely.
Financial aid recipients will be responsible for a portion of their dues. Their awards will be reviewed annually. Although we send
reminders at the end of a term, it is the member’s/participant’s responsibility to reapply for nancial aid. If assistance is not
renewed by its expiration date, members/programs on a monthly billing cycle will be charged the regular rate.
By submitting this application, you agree to these terms. Please allow 3-5 business days for processing. Written notication
of the award will be sent via email. Please note: Awards are on a go-forward basis; refunds will not be issued for fees paid or
due prior to the award date.
INCOME VERIFICATION TYPES
Financial aid is based on household income. Each adult in the household needs to provide at least one document from category
1 or 2 documents from category 2 regardless of their intention to join the YMCA. Individuals with incomplete applications will
be asked to resubmit their applications, which may delay processing.
CATEGORY 1 (ONE REQUIRED PER ADULT):
Current enrollment/award letter from the following
federal or California state assistance program(s).
•Medicaid Medical
•CalFresh/SNAP
•Women, Infant & Children program (WIC)
•CalWorks
•Federal Public House Assistance (Section 8)
•CA Low Income Heating Assistance Program
•Welfare-to-Work (WTW)
CATEGORY 2 (TWO REQUIRED PER ADULT):
Proof of income for all adults in household
regardless of their intent to join the Y
•Most current federal tax return (rst two pages of
Forms 1040 or 1040A o Self-employed individuals
must include Schedule C)
•Two most recent pay stubs
•Two most recent bank statements
•Supplemental Security Income
•Unemployment Insurance statement
Need help accessing your Category 1 documents? If you receive aid from one of these programs but need a copy of your notice
of action, please contact your case worker or visit www.mybenetscalwin.org to print out a copy.
All applications must be submitted via email to FA@ymcaLA.org. Should you need further assistance, please contact the
Financial Assistance Team at FA@ymcaLA.org.
OR
Form last udpated 04/2021
