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Please fill out the form below to see if a membership scholarship may apply to you. Verification of income will be required to confirm need. We will get back to you for further information on how to complete the application process.
Note: Scholarship percentages calculated on the website may differ from what you are actually eligible. This is used to get the process started and give an idea of what you may be eligible for.
General Information |
First Name | |
Last Name | |
Email | |
Phone | |
Monthly Income Information
Please fill in your monthly income as accurately as possible into the calculator below. If you already know your total monthly income, just put that number in the "other" input box to see your calculation. |
Use numbers only. No dollar signs ($), periods (.), commas (,) or letters. Thank you. |
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Number of Family Members
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Monthly Wages, Salaries, Tips for you (before taxes) | |
Monthly Wages, Salaries, Tips for your Spouse (before taxes) | |
Monthly Unemployment compensation you receive | |
Monthly Social Security compensation you receive | |
Monthly Child Support you receive | |
Other monthly income you receive
(e.g. Food Stamps, Aid to Dependent Child, 401K, Alimony, etc). | |
Additional Information |
Please inform us of any special circumstance that affects your income examples; recent unemployment, medical bills etc. | |
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In order to calculate your potential discount correctly, please ensure you used numbers only. No dollar signs ($), periods (.), commas (,) or letters. Thank you. |
Monthly Income | |
Annual Income | |
Potential Max Discount (%) |
