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Our Experience Scholarship Program is funded by the generosity of the community and takes every measure possible to forecast funding accurately, ensure that it’s allocated responsibly and that it remains available all year-round. While the Y strives to provide the most thorough consideration of all financial hardship in every application, rates provided are the very best possible within the program’s guidelines. We realize the reduced rate still may not work within everyone’s budgets, or that those previously receiving assistance will see an increase in their monthly rate, however the Y will never offer a rate that is not the best possible award for each application.

A Passport Membership rate could start as low as:

  • Adult Membership: $27.65 per month
  • Individual Parent: $33.30 per month
  • Family: $37.80 per month

The examples above show only 3 membership categories of the many we offer, including ROC City Memberships. Rates are subject to change. If determined eligible, Experience Scholarship awards are the lowest rate possible and cannot be lowered.

 

START YOUR APPLICATION

Have you applied for a membership through our Experience Scholarship Program within the last 6 months?
  • I understand Experience Scholarship assistance and overall rates have changed. Members previously receiving assistance will see an increase in their monthly rate, however the Y will never offer a rate that is not the best possible award within the program’s guidelines. If determined eligible, the rate awarded is non-negotiable.

  • Examples showing a few of our most common Passport Membership types at their lowest possible rates:
    Adult Membership: $27.65/mo
    Individual Parent: $33.30/mo
    Family: $37.80/mo

If you are submitting a duplicate application, your current place in the queue will be pushed back to the furthest date for review based on only the most recent submission. If you have already been awarded within the last year, please contact our Experience Team at Membership@RochesterYMCA.org who will determine if reapplying is necessary.

Address
A Passport Membership allows you to access any YMCA of Greater Rochester facility. Your chosen location is where you will be able to set up your membership.
Services

Ex: John Smith, 01/01/1970

Will you yourself be included on, and using this membership? (Youth Memberships offer only program access to register for Swim Lessons and Youth Sports, and discounts on Day Camp and Before & After School Care. Youth Memberships do not grant full-facility access.)

Of the household members provided above, including yourself if applicable, list each member to be included on this membership. Please review the membership type selected above. The household members to include should accurately reflect the description of the membership type chosen above. 

Named Adult 1
Named Adult 2
Named Adult 3
Named Dependent 1
Named Dependent 2
Named Dependent 3
Named Dependent 4
Named Dependent 5
How do you currently pay for housing?
Does anyone in your household receive assistance through SNAP or HEAP?
Provide all income received for each individual in the household, whether or not they will be included on your membership. Include income from all sources that apply to each individual which makes it possible to pay regular monthly expenses that cannot be paid for with SNAP or HEAP benefits (i.e. housing, transportation, phone, internet, etc.).
Provide all income received for each individual in the household, whether or not they will be included on your membership. Include income from all sources that apply to each individual which makes it possible to pay regular monthly expenses that cannot be paid for with SNAP or HEAP benefits (i.e. housing, transportation, phone, internet, etc.).
Indicate all income sources that apply to Income Recipient 3 that makes it possible to pay regular monthly expenses that cannot be paid for using SNAP or HEAP assistance (ie: housing, transportation, phone, internet, etc)
Indicate all income sources that apply to Income Recipient 4 that makes it possible to pay regular monthly expenses that cannot be paid for using SNAP or HEAP assistance (ie: housing, transportation, phone, internet, etc)
Indicate all income sources that apply to Income Recipient 5 that makes it possible to pay regular monthly expenses that cannot be paid for using SNAP or HEAP assistance (ie: housing, transportation, phone, internet, etc)
Will your membership be paid for (either partially or in full) by an outside organization? I.e. OPWDD/Self-Direction, County, Agency, Care Manager, etc?