Youth Group Financial Assistance - Specific Program Application
If you have not already done so, please make sure you have filled out the general information first:
Submit one application for each family in advance of each specific program.

Remember the general application may be re-submitted and revised at any time if your financial situation changes during the year but MUST be submitted prior to the application deadline for the next event.
Parents Name(s) *
Check Program *
Name(s) of children I need assistance for: *
Financial Section
(Although it is expected that the family will contribute at least 33% of the cost of each program for which they are seeking assistance, if the final award is less than you feel necessary, or if the expected parent contribution is unmanageable, please contact the Education Director or Scholarship Committee Chair to consider alternative arrangements or other fund sources. No student should be denied the ability to predicate due to financial hardship.)
Actual Cost of event (Registration and fees-remember multiple children may have a lower cost per event) *
Additional expenses (if any, explain) *
Expected Parent Contribution, at least 33% *
Awards are based on demonstrated financial need, and are not merit based. However, if available funds are limited, consideration will be made based on your child's participation and contribution to USY. All requests will be kept strictly confidential.
By typing my name below, I hereby allow it to act as my legal signature completing this application. *
Date this form was completed. *
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