FINANCIAL ASSISTANCE APPLICATION
ELIGIBILITY
- JOYS Gymnastics, Incorporated is welcoming to all persons regardless of age, sex, ethnic origin, religious affiliation or ability to pay.
- Only those with an income at or below 150% of the poverty levels (as determined by the Federal Government), or those who have had an extenuating circumstance which has temporarily reduced their income are eligible to apply.
- Assistance is available for class sessions and team fees effective January 1, 2016.
APPLICATION PROCESS
- All applications need to be completed in full and are completely confidential. Incomplete applications will not be accepted.
- Applicants must submit income documentation, letter why assistance is needed and any other supporting materials with their application.
- Applications should be turned into the Office Manager and are due the 28th of each month.
- Assistance is limited to between 25% – 50% of fee; meaning all approved applicants will be asked to pay the remainder of their fee.
- All financial assistance applications will be reviewed by the Board of Directors at their monthly meeting (usually the first Thursday of the each month).
- Financial assistance is granted at the sole discretion of the Board of Directors based on the amount of money needed and allotted to the assistance fund.
- The Office Manager will notify each applicant of the resolution of their application.
- To renew your financial assistance, you will need to submit a new application prior to the expiration of the previous application in order to avoid a lapse in coverage.
- To reapply for assistance you will be asked to submit a letter stating how the assistance has helped your family.
TERMS OF ASSISTANCE
- Assistance is given for the following time period:
- Class Session (3) months b. Team Fees (6) months
- All applicants that receive assistance will be required to volunteer (5) hours (during 3 month period) for class assistance; and (10) hours (during 6 month period) for team assistance. Failure to complete your volunteer hours will result in immediate loss of financial assistance and a one year ban from further assistance.
The Office Manager will maintain a record of all volunteer hours assigned and completed and will forward this information to the Board of Directors on a monthly basis for their review.
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Financial Assistance Application
Name:______________________________________________ Family Size: ___________
Phone Number: _______________________ E-Mail:____________________________
Address: ____________________________________________________________________ City: ____________________________
State:_______ Zip:___________
Name(s) of ALL members of your household: Check if Program Participant
- __________________________________________ Age__________ _____
- __________________________________________ Age__________ _____
- __________________________________________ Age__________ _____
- __________________________________________ Age__________ _____
- __________________________________________ Age__________ _____
- __________________________________________ Age__________ _____
- __________________________________________ Age__________ _____
Are you applying for CLASS SESSION and/or TEAM FEES
Have you ever applied for assistance before? YES or NO
If yes, when and why: __________________________________________________________
What is your annual household income?:_ ________________________________________
Please submit a copy of one the items below showing your current household income:
- Most recent tax return
- Most recent W-2s and/or 1099s
- (3) of your most current paystubs
- Social Security Award letter
- Unemployment verification
- Child Support Print Out (including payment history)
Please attach a letter stating why you are applying for assistance.
*I certify that the above information is true and complete. I also agree, if approved for assistance to follow all guidelines as are stated in the application.
________________________________________________________________________________________________________
Signature Date
2018-2019 FEDERAL POVERTY GUIDELINES
