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Request for Assistance


Financial Assistance:
Clubs who have students with financial needs have many avenues of support.

1. Plan and implement local fund-raising events, solicit corporate donors, solicit local clubs and service organizations such as Rotary & Kiwanas.

2. If the club is associated with a local YMCA, the student should apply for Financial Assistance.

3. Fill out the Request for Assistance from the State YMCA.





   Club     Student's Name 

   Parent Name Parent E-mail 

   Number of Persons in Family who are living at home

   Gross Annual Family Income                   

Other Assistance already Sought by student (check all that apply, explain below):
Fund Raisers  Corporate Donors  Local Service Clubs   Other

Additional Circumstances which add to the need for aid





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