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HomeMy WebLinkAboutUpdate on Library City Pool Pass and the Recreation Scholarship City of Bozeman Recreation Department Scholarship Program Application forms available at the Beall Recreation Center, the Swim Center, or at www.bozeman.net The City of Bozeman, Parks & Recreation Department is dedicated to quality service and strives to provide affordable recreation opportunities for everyone. Our Scholarship Program is designed to help City of Bozeman Residents participate in activities that might otherwise be financially unfeasible. Scholarship Statement: Any resident of Bozeman who wishes to participate in a City of Bozeman sponsored recreation program, and is in need of financial assistance, may apply for aid through the Bozeman Recreation Department’s Scholarship Program. All applicants must be a resident of Bozeman. Families that are eligible for scholarships may apply for 25% to 100% of program costs and for a maximum of three classes per household, during any fiscal year (July 1 - June 30). Applications will be reviewed by a committee to determine eligibility and scholarship amount. Completion of this application does not guarantee a scholarship from the City of Bozeman. The application must be completed, include necessary attachments, and be approved by the Recreation Division before programs may be attended. Steps for completing application: 1. Complete a scholarship application form 2. Complete an activity registration form 3. Send all completed forms to the Bozeman Recreation Department. Applications will be reviewed the first week of every month. All scholarships are subject to availability of funds and class space and are awarded on a first come first served basis. The following is required with your application 1. Proof of residency (water bill, utility bill, etc.) 2. Class registration form Mailing Address: Bozeman Recreation Department PO Box 1230 Bozeman, MT 59771 Confidentiality: The City of Bozeman Recreation Department will use this application information for scholarship approval only. Strict confidentiality will be maintained at all times during the decision making process. Program leaders will not be informed of a participant’s scholarship status. 100 Scholarship Application Please complete the following application with required documentation and return to the Bozeman Recreation Department, applications will be reviewed the first week of every month. Participant Name:___________________________________________________Age:____________ Address:_______________________________________City:________________State:____________ Parent/Guardian Name:__________________________Home Phone:_________Cell Phone:________ Number of Household Members:___________________ Program Requested:___________________________________________________________________ Scholarship Amount Requested: $___________ Total GROSS Household Income: $____________ Per year or month?__________ I affirm to the best of my knowledge that the above information is true and complete. I understand that my information is confidential and will only be reviewed by the scholarship committee to determine eligibility. A deliberate misrepresentation of the information will result in forfeiture of the scholarship and may prohibit future eligibility in the City of Bozeman Scholarship Program. Signature:_________________________________________________Date:______________________ In order to process this application, please include the following documentation: 1. Proof of City of Bozeman residency (water bill, utility bill, etc.) 2. Completed class registration form The following chart with be used by the committee to help determine scholarship eligibility The 2009 Federal Poverty Guidelines City of Bozeman Parks and Recreation Department 415 N. Bozeman Ave Please feel free to call us if you have any questions or concerns 582-2910 Persons in family Poverty Guideline 1 10,830 2 14,570 3 18,310 4 22,050 5 25,790 6 29,530 7 33,270 8 37,010 For families with more than 8 persons, add $3,740 for each additional person Department Use Only: Date Received:_________Date Reviewed:__________Documentation Received: Yes____No____ Scholarship approved: Yes____No_____Amount Approved:_______Date Applicant Contacted:_______ 101 Subsidy Level Chart # PERSONS 100% IN HOUSEHOLD MIN MAX 1 10,830.00$ 13,537.50$ 2 14,570.00$ 18,212.50$ 3 18,310.00$ 22,887.50$ 4 22,050.00$ 27,562.50$ 5 25,790.00$ 32,237.50$ 6 29,530.00$ 36,912.50$ 7 33,270.00$ 41,587.50$ 8 37,010.00$ 46,262.50$ # PERSONS 75% IN HOUSEHOLD MIN MAX 1 13,537.50$ 16,245.00$ 2 18,212.50$ 21,855.00$ 3 22,887.50$ 27,465.00$ 4 27,562.50$ 33,075.00$ 5 32,237.50$ 38,685.00$ 6 36,912.50$ 44,295.00$ 7 41,587.50$ 49,905.00$ 8 46,262.50$ 55,515.00$ # PERSONS 50% IN HOUSEHOLD MIN MAX 1 16,245.00$ 18,952.50$ 2 21,855.00$ 25,497.50$ 3 27,465.00$ 32,042.50$ 4 33,075.00$ 38,587.50$ 5 38,685.00$ 45,132.50$ 6 44,295.00$ 51,677.50$ 7 49,905.00$ 58,222.50$ 8 55,515.00$ 64,767.50$ # PERSONS 25% IN HOUSEHOLD MIN MAX 1 18,952.50$ 21,660.00$ 2 25,497.50$ 29,140.00$ 3 32,042.50$ 36,620.00$ 4 38,587.50$ 44,100.00$ 5 45,132.50$ 51,580.00$ 6 51,677.50$ 59,060.00$ 7 58,222.50$ 66,540.00$ 8 64,767.50$ 74,020.00$ 102