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Member Information Guide
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Financial Assistance / Y Assist

Every member is expected to pay a portion of the monthly dues; however, no one is tuned away because of the inability to pay. In addition to providing assistance on the joiner fee, eligible applicants may also qualify for reduced monthly rates based on a sliding fee scale determined by income.

If you would like to speak to someone in regards to registering for Y Assist please contact the YMCA at 815-489-1252.

If you are ready to apply for Y Assist please click here to download our Financial Assistance Application Form.


Additional Information

Provide PHOTO COPIES of all items listed below which pertain to you, and submit with your application.

Please, blackout/remove all Social Security numbers.

Everyone must provide:
Current year’s Federal Tax return (1040) or a transcript of your taxes from the IRS for all adults in the household. (Instructions are listed below for obtaining this transcript should you not have a copy, or did not file taxes.)

  • Additional information (if applicable):
  • Three current, most recent pay stubs for all working adults in the household
  • Birth Certificates for children NOT listed on tax form
  • Link Card Statement (for food stamps, cash assistance, etc.)
  • Social Security Statement
  • Disability Statement
  • Child Support Order
  • Unemployment Statement
  • Workers Compensation Statement
  • School schedule for any student on the membership who is between the ages of 18-23
  • The IRS tax transcript is for those who do not have a copy of or did not file taxes.
  • All applicants must have a transcript or form regardless of your employment status.

To obtain the IRS transcript letter, go to the IRS website or Call the IRS at 1-800-829-1040. (This is an automated system. You will be prompted to enter the appropriate information. Choose the option for “questions about your account”, and follow the prompts.)

Once this process is complete, the IRS will mail the letter to your home. You should receive it within 10-15 days.


 
   
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YMCA of Rock River Valley 200 Y Blvd, Rockford, Illinois, 61107 (815) 987-2252
Copyright © 2010 Rockford YMCA. All Rights Reserved.

The YMCA is a nonprofit organization whose mission is to put Christian principles into practice through programs that build healthy spirit, mind, and body for all.