Family Assistance Policy
Youth Activity Scholarship Application
PRC adopted March 9, 2004
Revised August, 2019
Page 1 of 2
Policy:
It is the policy of the City of Kannapolis Parks and Recreation Department to provide recreational opportunities to all
citizens. Some programs require the payment of a fee to cover the expenses incurred by offering the program.
Realizing the need to include all citizens in these opportunities, the City of Kannapolis will offer financial assistance to
families and youth meeting the guidelines listed in this document. The number of scholarships may be limited in some
programs, depending on the space available. As a general rule, scholarships will be offered to approximately ten
percent (10%) of the spaces available. This percentage may and will vary from program to program. The Parks and
Recreation Director will make the final decision of how many scholarships are available for each program. After the
allotted numbers of scholarship spaces are filled, the Parks and Recreation Director will consider all applications on a
case-by-case basis. All residents will be required to pay a portion of the fee for each program. There will be no full
scholarships given by the City of Kannapolis for any Parks and Recreation activity. Available scholarships will be given
on a first-come-first-served basis. Applicants will be required to provide proof of eligibility for financial assistance.
Failure to provide this information when requested by staff will void this application.
Available Assistance:
If a household meets the 200% maximum monthly gross income limit, they will be eligible for assistance of fifty
percent (50%) of the published fee.
If a household meets the 130% maximum monthly gross income limit, they will be eligible for assistance of seventy-
five percent (75%) of the published fee.
My child/guardian qualifies for 50% scholarship.
My child/guardian qualifies for 75% scholarship
Program registering for:
Child’s Name:
Home Address:
Mailing Address: (if different)
School Attending:
Home phone:
Work Phone:
Signature of parent/guardian:
FOR OFFICE USE ONLY
Verification/Paperwork Received: ____________
Approved: ___________________ (staff initials)
Date: _______________________
Not Approved: __________________ (staff initials)
Reason:
Family Assistance Policy
Youth Activity Scholarship Application
PRC adopted March 9, 2004
Revised August, 2019
Page 2 of 2
MODIFIED FROM NORTH CAROLINA HEALTH & HUMAN SERVICES Updated August, 2019
North Carolina Food & Nutrition Services Program
HOUSEHOLD SIZE
130% MAXIMUM FEDERAL
POVERTY LEVEL
MONTHLY GROSS INCOME
Eligible for 75% Scholarship
200% MAXIMUM FEDERAL
POVERTY LEVEL
MONTHLY GROSS INCOME
Eligible for 50% Scholarship
1
$0.00 - $1,316
$1,317 - $2,024
2
$0.00 - $1,784
$1,785 - $2,744
3
$0.00 - $2,252
$2,253 - $3,464
4
$0.00 - $2,720
$2,721 - $4,184
5
$0.00 - $3,188
$2,189 - $4,904
6
$0.00 - $3,656
$3,657 - $5,624
7
$0.00 - $4,124
$4,125 - $6,344
8
$0.00 - $4,592
$4,593 - $7,064
Each Additional Member
(+468)
(+720)
2. Household Composition: Individuals who qualify as a household include:
Spouses living together or individuals representing themselves as a married couple
Individuals under the age of 22 living with a parent
Individuals under 18 under the parental control of an adult living in the home
Two unmarried adults living in the same home who are parents of a mutual child
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