Financial Assistance Application

Waukegan Park District Financial Assistance Application CONFIDENTIAL Date of Application: ________________ Family Name: _____________________ PURPOSE  Financial assistance is available to assist Waukegan Park District/SRSNLC-Waukegan residents wishing to... More

Waukegan Park District Financial Assistance Application CONFIDENTIAL Date of Application: ________________ Family Name: _____________________ PURPOSE  Financial assistance is available to assist Waukegan Park District/SRSNLC-Waukegan residents wishing to participate in programs and services who would not otherwise have the resources to participate. ELIGIBILITY  Must be a Waukegan Park District Resident (a copy of a current bill indicating current address must be attached to this request).  Financial assistance is income based. Criteria for income eligibility follows the US Department of Health and Human Services Poverty Guidelines (see bottom of page 5). More information can be found at http://www.hhs.gov/ .  Confidential Scholarship Applications are addressed on a first come first served basis and looked at case by case basis; program by program; season by season; and by each area. GUIDELINES  Complete Financial Assistance Application in its entirety and bring with you any suppor Less