Sliding Scale Program
Through our “Membership for All” program, we are able to provide financial assistance to individuals and families to ensure everyone has the opportunity to benefit from Y programming, regardless of income. Financial assistance is available on a sliding scale based on household income and number of people in the household.
Verification of household income is required. Just show a copy of your most recent filed 1040 or 1040EZ.
In certain circumstances, we understand that the 1040EZ may not be available. If that is your situation, please review the chart below to help us understand your situation.
To visit and print the application form, click here.
|If this is your household situation...||You will need to bring...|
If household filed taxes but doesn't have a copy of 1040(s) available
If house did not file taxes last year
If your household receives government assistance
A copy of your tax transcript. This can be requested from the IRS by calling 1-800-829-1040. Follow the prompts for "Personal Tax Account" and then listen for an option to request your transcript. There is no charge for a transcript to be sent to you.
For each income earner in your household, we required copies of W2s or copies of one month of current pay stubs showing the gross income. If pay stubs are not available, you can receive proof of non- filing by calling 1-800-829-1040.
Government assistance verification (disability statement, social security statement, case benefit history, food stamps, Medicaid, etc) or bank statement showing automatic deposit of assistance – for each adult in your household.