Open Y Scholarship Application Form - Ymca Of Columbia printable pdf download

YMCA of Columbia

We're for youth development, healthy living and social responsibility

Open Y Program

The YMCA of Columbia is a not-for-profit organization that puts Christian principles into practice through programs

that build healthy spirit, mind and body for all. YMCAs are here to serve people of all ages, abilities, backgrounds

and incomes. The Y is community based and believes that the programs should be available for everyone. That is

why we offer the Open Y program.

The YMCA of Columbia requires that individuals interested in the Open Y Program complete this application and

provide all requested criteria, listed below, with application at a Y branch so that we can provide financial

assistance in a fair and consistent manner. The YMCA also requires that individuals reapply on an annual basis for

membership and seasonally for programs to keep their information on file up to date and ensure the Y is

consistently helping those that require assistance to utilize YMCA programs.

Fees are subject to increase when

reapplying for assistance. If you do not reapply when required; your fees will increase to published rate at that

time.

To process your application, we require all the following criteria to be submitted. If any of the

following criteria is not submitted with application, we will not be able to process your application. If

any required criteria cannot be submitted, it should be addressed in your letter of explanation as to

why it’s not submitted and at the Y’s discretion made by accepted.

Copy of last year’s Federal tax return for all adults in household OR a letter from the IRS stating



no tax return was filed (use IRS form 4506-T to obtain letter from IRS)

Copy of last two pay stubs for all adults in household



Copy of Social Security or disability for all adults in household (if applicable)



Copy of paperwork for any income received by all adults in household

(i.e. food stamps, child support,



welfare benefits, etc.)

YMCA Open Y Program Application



Copy of Driver’s License for all adults on application



Letter explaining circumstances of need

(detailed information will assist the Y in understanding your needs)



Please allow 7-business days for processing. The Y will contact you at phone number and/or email address listed.

YMCA of Columbia

Columbia, SC 29201

Drop off your application at the most convenient location. Check our website for address:

Open Y Scholarship Application Form - Ymca Of Columbia