Financial Assistance Application To apply for one-time financial assistance, please complete the online application form below. Be sure to provide accurate and detailed information to help us assess your situation effectively. Step 1 of 3 33% 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) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Mobile Phone(Required)Home PhoneEmail(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 situationRequired Documentation(Required)Please bring or mail a copy of the following to the YMCA to complete your application. Driver’s License or State ID Previous year tax return Last 2 months of paystubs Verification of DHS Assistance Proof of Income 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
