Kansas YAG Student Registration
The Kansas YMCA Youth and Government program fee is $200. YAG offers financial assistance ranging from $50 to $200. Applications are due by November 16, 2018. Applications received after this date will be considered only if funding remains available. If an application is approved, the student’s advisor will be notified of the remaining balance owed to YAG.

Please note that only fully complete applications will be considered.

SCHOLARSHIP CRITERIA
1. Scholarship recipients and their family must be in need of financial assistance, without which they would not be able to participate in Youth and Government.

2. Applicants should familiarize their advisors with their financial circumstances and inform them that the YAG Office may contact them for more information.

3. Advisors and students will be notified of a decision shortly after the deadline for submission.

4. All applications must be signed by both the applicant and their parent/guardian.

Kansas YMCA Youth and Government has limited funds to allocate for financial assistance. The State Office attempts to support as many students as possible with these funds, and to allocate funds in a fair manner. Please be honest with the answers you provide to the questions below to enable us to make informed decisions in the allocation of funds.

DELEGATION
Delegation *
If your delegation is not listed, please selected "Delegation Not Listed" and enter it in the text box below.
Delegation Not Listed
If your delegation was not listed, please enter it here
Your answer
STUDENT INFORMATION
First Name *
Your answer
Last Name *
Your answer
CONTACT INFORMATION
Cell Phone
Your answer
Email
Your answer
APPLICATION INFORMATION
Financial Assistant Request
Please select the amount of financial assistance you are request. Please check all that apply.
Annual Income
Please enter the current annual income for your household.
Your answer
Size of household
Please enter the number of children in the household, including the applicant.
1. Why do you want to participate in Kansas YMCA Youth and Government? What do you hope to gain from your participation?
Your answer
2. Why are you requesting financial assistance?
Your answer
3. Who will be paying the remainder of your program fee – you, parents, others?
Your answer
4. Is there any other information that the State Office should be aware of regarding your application?
Your answer
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