Financial Assistance – Island of Hawaii YMCA

Program(s)(Required)

Select the programs you are applying for financial assistance

Day Camp

Sailing Classes

I have completed my application for the program for which I am requesting assistance(Required)

If you are requesting financial assistance for day camp or sailing please FIRST complete and submit your camp application before submitting for financial assistance.

Yes

No

Child's Name(Required)

First Last

Please complete your camp/class application first

Submit disabled. You have indicated above that you have not completed your day camp or sailing classes application yet. Please FIRST complete and submit your camp application online before submitting for financial assistance.

Name(Required)

First Last

Address(Required)

Mobile Phone(Required)

Home Phone

Email(Required)

Employment Status(Required)

Employed

Unemployed

Self employed

Student

Current Employer

Occupation

Monthly Salary/Wages/Tips(Required)

Hours Worked per Week(Required)

Other Sources of Income(Required)

Household Size(Required)

If unemployed, please explain how you support yourself financially(Required)

If unemployed and receiving unemployment insurance compensation, when does this end?

Is there anything else we need to know about your financial situation

Required Documentation(Required)

Please bring or mail a copy of the following to the YMCA to complete your application.

Personal Statement of Hardship(Required)

Signature(Required)

Our financial assistance program serves individuals and families who show financial hardship. A portion or all of the membership dues may be waived for a limited period of time once it is reviewed by the YMCA & the CEO. Completed application & required documentation may be delivered to our office at 300 W. Lanikaula Street, Hilo, HI 96720

Financial Assistance Application

Please complete your camp/class application first

Member Portal