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Home My WebLink About2000 09 25 Consent E Scholarship (Financial Assistance) Program COMMISSION AGENDA ITEM E CONSENT X INFORMATIONAL PUBLIC HEARING REGULAR 9/25/2000 Meeting MGR. ~EPT(2~ Authorization REQUEST: The Parks and Recreation Department is requesting City Commission approval of the Application and criteria for a scholarship (financial assistance) program for the Summer Program and fall, winter, spring and summer classes and programs and establishment of a scholarship account with initial funding of $800.00. PURPOSE: The purpose of this item is to have a written financial assistance program with application and criteria and an account with initial fUlI1ding of $800.00. ISSUE ANALYSIS: . The Parks and Recreation Department has provided scholarships when requested and funds were available for the summer program and some classes and programs. . A written application and criteria is needed along with a designated scholarship account and initial funding. . The summer recreation program generated a profit of $1,600.00. $800.00 of that profit is being recommended for initial funding. . The Senior Corporation has given funds for scholarships in the past nnd other non- profit organizations may also provide funding when requested. 1 FUNDING: $800.00 is necessary, which is 1/2 of the profit generated from the 2000 summer recreation program. RECOMMENDATION: Staff is recommending that the City Commission approves the application and criteria for a financial assistance program and approves a scholarship account with initial funding of $800.00. IMPLEMENTATION SCHEDULE: Begin using October 1, 2000. A TT ACHMENTS: Attachment "A"- City of Winter Springs Parks and Recreation Depal1ment Financial Assistance Application and Criteria COMMISSION ACTION: Ageoda129 2 Attachment nAn City of Winter Sprine:s Parks and Recreation Department 1126 East SR 434 Winter Sprine:s. Florida 32708 FINANCIAL ASSIST ANCE APPLICATION The City of Winter Springs Parks and Recreation Department is a major provider for recreational and social services to youth, adults and families in our community. In order to provide all members of the community with an equal opportunity to take advantage of our services, the City of Winter Springs Parks and Recreation Department has a limited amount of financial assistance available. Individuals and families who are unable to pay for the full cost of a City of Winter Springs Parks and Recreation program fee may apply for a reduced rate and may be awarded partial financial assistance based on their demonstrated need. ELIGIBILTY 1) Financial assistance will be granted on the basis of financial need. The family income guidelines used by the Parks and Recreation Department will be used as a guideline for eligibility. 2) The Parks and Recreation Department believes that a strong sense of ownership and pride will be developed if the financial assistance recipient contributes to the cost of their Parks and Recreation involvement; therefore, applicants will be asked to pay a portion of the program fee. 3) Financial assistance will be reviewed for eligibility, for each program period (requests must be made for each individual program) 4) The entire Financial Assistance Application MUST BE FILLED OUT COMPLETEL Y to be considered. 5) Financial assistance is not guaranteed on an ongoing basis and MUST be reapplied for before each additional/new program. All current and correct paperwork must be submitted every year. HOW TO APPLY 1) Applicants must complete all Financial Assistance Application forms as well as the standard Parks and Recreation program forms. 2) The following must be included with the Financial Assistance Application: a) Proof of income/ 3 recent pay stubs showing income for each adult b) All W-2's from last year c) First page oflast year's tax return d) Photocopy of your driver's license Your application will not be forwarded for approval without above paperwork 3) If possible, the Program Supervisor will meet with you when you present the required documentation. If not, you may be called to discuss the request. All application records will be kept confidential. 4) Application processing time is typically 5 to 10 working days after all required information has been received. 5) Financial assistance eligibility will be based on review of information and personal interview with the applicant. The Parks and Recreation Department reserves the right to deny all or partial assistance to any applicant. City of Winter Sprines Parks and Recreation Department Application for Financial Assistance PLEASE CHECK ONE: RESIDENT NON-RESIDENT Name: Birthdate: Home Address: City: State: _ Zip: Home Phone: Work Phone: Status: (check one): Married _ Single _ Separated _ Divorced_ Employer: Position: Spouse Name: Birthdate: Monthly income before taxes Additional family income (Spouse) Other additional income Total monthly family income $ $ $ $ Current Household: Number of Adults Child's Name: Number of Children Social Security # Social Security # Social Security # Social Security # Age Age Age Age What Program(s) are you requesting assistance for? What is the normal program fee? What amount do you feel you can pay? Are there any special circumstances that should be considered as part of this request? Have you ever received financial assistance from the Winter Springs Parks and Recreation Department? ( ) Yes ( ) No If yes, for what activity or program? Would you be able to volunteer your time or services to do some work for the Parks and Recreation Department? ( )Yes ()No If yes, what can you offer? How did you learn about the City of Winter Springs Parlks and Recreation Department? Please list three references (non-relatives), who may be called to verify information: Name 1 2 3 Phone Relationship PLEASE READ THE FOLLOWING: In completing this application with my signature, I certify that the information supplied herein is true, accurate, and complete to the best of my knowledge and may be verified by the City of Winter Springs Parks and Recreation Department. I am aware that it is my responsibility to notify the City of Winter Springs Parks and Recreation Department in writing, of any changes in the information supplied in this application (such as income, address, living arrangements, and/or other matters, which might affect my range of eligibility for financial assistance). I also understand by signing this Scholarship application that I agree to participate in, or allow family members or dependents to participate in, Parks and Recreation Department activities and will pay a portion of the total fee. Applicant's Signature Date Staff person collecting Application Date % of fee lr.l be paid by participant 7% 14% 210/0 29% 35% 42% 50% 57% 64% 71% 78% 85% 92% 100% CITY OF WINTER SPRINGS PARKS AND RECREATION Sliding Fee Schedule 2 3 Annual Orosslncoma , Nunm.r of persona in Flmilr .. 5 ~ ? ! 9 10 , 1 12 tot 15 13 0 0 0 (] II 0 0 0 0 0 0 0 0 0 0 ""20 S,!i30 '.'MIl II~ tt7Bl: 11 170 1l.. $8D 13._ 15..wG '5,110 18.22U '8,630 '1.1140 22.450 2),860 ".121 s..~)1 6,9t' 11.36' 8.Ml 11,111 11,61' 13...' 15.401 'UU 18,21' '.,631 21.&4 , 1l.A5 , 2:3..1 8180 a.29!i 10,4ti1 11~ '4.e40 1 usa 11170 20,885 23.100 2JU15 27.J3C 28446 J 1.560 33.615 36. T90 6.181 8,298 I Utt 12..5<11 ".&41 IU$8 1U71 20,_ 23, '01 "-'5.21. v.:n. 28.44Il 31,51' 13.616 36.791 8.239 11058 13.m 16,1l1Q 18.&11 ~l331 :6.t5. 21.979 3O,mQ 33,619 31,01 ~,25i9 <I2.G1'11 ".11 47.1111 8,2l4(l 11. CleO lUl!IO IllNO II1,fiJO tt l4Q 25.180 V,taD 30.000 ll,,1UI )6._ 38. 42 .0IKl 44.900 <41,110 9.15'" 11,1IC4 UUS4 "AS4 'n,T7. llS,0S<l 2!U54 32,.'" :l6~ 39.D4 415'5 <<1.10& .,095 5Z.3115 65,815 9,.615 R9f6 'll.t iii "..cas :: 28,~ 29,355 !oZ. 645 3~ 38,225 .u,e 6.108 49.D1l11 52.Jall 55,178 1 <UlIJ7 '4,741 tI. 22'- :ID.7. l3,Me 31,_ -41.009 ....,- "Mill ~ S6.'08 :l8JUlI t3.6X1 lo..see 14.74' "!1M 22'- 2G,029 29,1. D.5'G 11.:UQ 41,010 "4,e:tCl .... 6U5O 64.1 to e&.,ll71 5).631 12.:& IUW aD: ~ 211.28C nil0 31,1411 .\.lITO ".200 ~430 ~lllliO 5UtlCl a. '211 67,~ l'.!I8l.l 12.3M t&.. tP91 2D,S:11 ~OSI ~.281 3U11 ~,74t 4'.\)11 4&,21n !lO..4JI 5...., M.at1 63,121 "',35 , 11 ,581 12.. t1 ,,23S 2' .629 2IIl.024 ~418 34.&12 39,.207 "3,80 , 41, en 52"- 51.1M 81.Il'i 65,513 69.918 ,.,36'2 17..481 n.2'3t 21,630 218. 025 30.41' 34,813 38.201 43.602 41.1187 6o:l,381 ee.7M 51,1 eo 66.614 89._ 74,3lSJ _ 1)12' . . 17.880 . . .n.o43lI 2e 1107 31,558 38,1' II 4:), 04 7 045,232 49,79' 504 ,.l!J) Y,109 61~ 08.OU 12.585 n.14. U,321 17.as 1 Z2JU9 2fI,_ :s 1.6S7 Je,118 .eQ.lJl , ~.2JJ ~U12 . ~,J61 . 5I"itO 63.~ .. M.oz.e ..n586 11,"'6 '3.10' 1.11.524 23~ 27.m 32.194 11.411 ~140 oICll&4 ~I ,517 516.3' D 61.m U,19 1'0.- 75.2Il3 11.626 'U.D2 11.525 23.241 "n.1J72 32,1" 31,4" 42.14' .,IM 51.588 ~It '1,034 e~7fill 10."1 75,2(M 79,171 t 4:l84 18,16ll 241Yi1 21.M4 33 .e>> M.120 43.101 ~496 53..31) 5U70 a'R U,0t5 72,93) n,azl 82.106 '04 .283 19, .n: ~05t "" 945 J3,tw 38,72t .0..108 4ll,C8e S3.384 5&,211 113,I54l 61.048 72,1134 "/1~ 11.109 14,1G 1Ut14 2-4188 21,,118 3'&,190 40,022 45..014 eo. ,~ S5,118 ea.2JO euB2 70334 7~.3as 'O,G M.,490 l4 ,7'83 111.815 2.4_ 20,918 '" ,191 ~1):Z3 45,075 60, '21 ~. 1"/9 fllJ,n 1 115.2$3 70.3~ 75.W 10,01 Il6. 411 , 15,liM 2a .<<lIt ~e71 30,8S6 :J6,112 41,1:2t ....546 ~ t. "M3 116,tIlO 52,1111 11 ,.,.4 7a,M1 n,&40 83,1lIiI5 B!I.2JZ 16,26 2O,~ 2!I.41Tt _Me 3U13 U,l3O _,547 ~ 1)'84 M,OOI &2.'111 17,.'5 72,612 71.a49 lD,OCllI 88,283 1~,1Ie2 21,29' 2ft. 11 8 3l.1~ 31m <<l. DOS 4,433 ~.I6Z 5$.290 &4,71. 70,447 15,516 111,004 86.oQJ ",861 '5.80 21,292 28. 720 32,149 31.!77 43,001 "1.434 5:\.Illl3 :i9.291 ~.12(J 70,1411 75,m 81,aas ll6..~ 91,861 '6." 21,'20 21.760 33,400 )9.Q40 ""'NO ~ ,:J2O 5e,.!lSQ SI.6ClO ~7 lie n.B8Cl 1I.~O 84,160 89..1100 ~.440 1999 POIIefty Level Reference: Dept. ()f Children and Famiie,