Individual

A limited number of yearly packages are available to individuals eligible for assistance through one of the programs listed below, with an annual income of $15,000 or less before taxes, and living within a 30-mile radius of Maxtivity, 1604 Main St in Philomath. The yearly Individual Inclusion rate is $180 (half price) and includes individual pARTicipant benefits as described in the Maxtivity pARTicipant packet.

To apply, please complete the application for Individual Inclusion pARTicipant and include the appropriate documentation.

Accepted Documentation for Individuals

As part of the application process, you will need to provide a copy of one of the following eligibility coverage notification letters with current dates. This letter must include the exact name and address of the applicant and be dated within the past three months:

• Proof of Active Military Service or Veteran Status

• Children’s Health Insurance Plan (CHIP), Medicaid, or Oregon Health Plan

• SNAP or WIC documentation

• Temporary Assistance for Needy Families (TANF)

• Unemployment

Family

A limited number of yearly packages are available to families eligible for assistance through one of the programs listed below, with an annual income of $30,000 or less before taxes, and living within a 30-mile radius of Maxtivity, 1604 Main St in Philomath.

The yearly, Family Inclusion pARTicipant rate is $360 (half price) and includes benefits as described in the Maxtivity pARTicipant packet for two named adults and up to three children. Additional related children under 18, residing at the same address, can be added at time of joining, for $180 each.

To apply, please complete the application for Family Inclusion pARTicipant and include the appropriate documentation.

Accepted Documentation for Individuals

As part of the application process, you will need to provide a copy of one of the following eligibility coverage notification letters with current dates. This letter must include the name and address of at least one family member listed on the pARTicipant application and be dated within the past three months:

• Children’s Health Insurance Plan (CHIP), Medicaid, Oregon Health Plan

• Free and reduced school lunch, SNAP, or WIC documentation

• Temporary Assistance for Needy Families (TANF)

What to Expect After Applying

After submitting your Inclusion pARTicipant application, please allow up to 3 weeks for processing. Our review will include consideration of annual income, residence address, and your assistance documentation to determine if you are a candidate for the program. You will receive an e-mail or letter either awarding or denying pARTicipant status. If you are awarded pARTicipant status, you must bring the printed confirmation letter and your yearly fee payment to Maxtivity within two months to activate.

Questions?

Contact Louise-Annette Burgess, Executive Director of Maxtivity at director@maxtivitycreative.space