Integrated Family Community Services

Recreation Center Voucher Application Checklist

Vouchers or Recreation Money is available to eligible households within South Suburban Parks and Recreation District and Englewood Parks and Recreation (Englewood & Malley Recreation Centers). Eligibility for recreation center assistance is based on specific program guidelines including residence within the recreation district and monthly income within 200% of the Federal Poverty Level (FPL). Complete the following application to determine eligibility

Important Note: Vouchers may cover open gym, drop in classes, and select children’s programs. Each recreation district will make the final decision concerning voucher usage. Please visit the following sites for more information:

- Englewood
- South Suburban

My household size is (Text Box/Drop Down) and monthly gross income is (Text Box/Drop Down).

HOUSEHOLD accepted

Only the following INCOME will be accepted

Applicant Information

First and Last Name

Address

City

State/Province

Zip/Postal

Country

Phone

Email

Request

Recreation Center Membership

Voucher Needed

List each family member requesting a voucher

Application Checklist - Please Email all Items to IFCS@IFCS.org or Scan/Send documents via Fast Scanner

Recreation ID for all members of the household seeking a voucher

Income statements covering the last 4 weeks for all adults (18+ years old) in the home

Proof of address: utility bill dated within the past 30 days or signed lease.

Signature - By Clicking Yes, you are certifying your answers are true and complete to the best of your knowledge

Yes

IFCS

Recreation Center Voucher Application Checklist

Applicant Information

Request

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