BEFORE YOU BEGIN: Gather Your Documents

To apply, you'll need to submit documents to verify your income. We recommend having them ready beforehand for the smoothest experience. You'll only be required to upload documents that apply to you- if a category doesn't apply, you can simply leave it blank.

Here's what you'll need:

1. Tax Documents. Most recent federal 1040 or statement of non-filing.* W-2s not accepted. Find it here->

2. Pay Stubs. Last 2 pay stubs or letter from employer stating hours worked and pay.

3. Social Security Benefits. Letter from the social security office or Notice of Decision stating your monthly benefit amount. Find it here-> 

4. Unemployment or Disability. Notification of eligible benefits from unemployment/disability office. Find it here->

5. Child Support/Alimony. Child support order or screenshot of deposit. Find it here->

6. Government Assistance. (SNAP, housing assistance, etc.) Letter of explanation of your benefits. Find it here->

7. Proof of Other Income. Supporting document(s) for additional income. This can be an invoice, bank statement, screenshot of deposit, etc. 

 

*If you don't have a copy of your most recently filed tax return, you can get one by calling the IRS at 1-800-829-1040 or by requesting a transcript from the IRS. 

 

Section 1: Household Information

Primary Applicant: (All information is required)
What is your preferred method of communication?
Secondary Adult: (All information is required)
Legal Dependents: (18 and under)

Section 2: Membership & Program Information

Select Membership Type
(Children ages 19-25 who are college students may be included on the family household membership.)
Select Program Categories
(please note program financial assistance will vary based on the program category)

*Persons requesting assistance for Child Care programs are required to apply for the Wisconsin Shares Child Care Subsidy Program first.  More information can be found at: https://dcf.wisconsin.gov/wishares/apply

 

Section 3: Income Verification & Supporting Documents

Instructions: Please enter the monthly amount you receive for each income type listed. If you enter an amount greater than $0, you'll be prompted to upload supporting documentation. If you do not receive that type of income, leave the amount as $0- no document will be required.

We understand that numbers don't show everything. If you have special circumstances, you'll have an opportunity below to explain your situation so that consideration may be given.

 

One file only.
50 MB limit.
Allowed types:  jpg, jpeg, png, gif, pdf, doc, docx, xls, xlsx.
$
One file only.
50 MB limit.
Allowed types:  jpg, jpeg, png, gif, pdf, doc, docx, xls, xlsx.
One file only.
50 MB limit.
Allowed types:  jpg, jpeg, png, gif, pdf, doc, docx, xls, xlsx.
One file only.
50 MB limit.
Allowed types:  jpg, jpeg, png, gif, pdf, doc, docx, xls, xlsx.
$
One file only.
50 MB limit.
Allowed types:  jpg, jpeg, png, gif, pdf, doc, docx, xls, xlsx.
$
One file only.
50 MB limit.
Allowed types:  jpg, jpeg, png, gif, pdf, doc, docx, xls, xlsx.
$
One file only.
50 MB limit.
Allowed types:  jpg, jpeg, png, gif, pdf, doc, docx, xls, xlsx.
$
One file only.
50 MB limit.
Allowed types:  jpg, jpeg, png, gif, pdf, doc, docx, xls, xlsx.
Do you have special circumstances?

I certify that I do not have additional income or assistance not represented above.  I agree, if necessary, to send additional information and documentation to support the above statements. I understand that assistance is based on need. In the event that I or my family must cancel our participation, I will contact the YMCA immediately. I understand that if I falsify any of the above information, I will not be eligible for assistance now/or in the future. Application will be considered incomplete if income is not verified.

Sign above

Section 4: Additional Information

The FOR ALL Program is made possible thanks to generous support from the Oshkosh Area United Way, Y members, staff, and community donors. To keep this support going, we're asked to share anonymous, statistical data to show how assistance is being used. 

The information below is 100% confidential. It is shared only with the Oshkosh United Way in statistical form. Your privacy is always maintained- no names, addresses, or phone numbers are ever provided to outside groups.

Annual household income:
My family participates in the Free and Reduced School Lunch Program:
List of all family members: (Including Primary Applicant)
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