YMCA of the Triangle

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FOR YOUTH DEVELOPMENT
FOR HEALTHY LIVING
FOR SOCIAL RESPONSIBILITY

Financial Assistance for Membership

YMCA Financial Assistance

Thanks to funds from our Annual We Build People Campaign, the YMCA of the Triangle provides financial assistance for children, teens, adults and families who cannot afford the full cost of a Y membership.

We use a sliding fee scale based on total household income and the number of household members. We require supporting documentation to verify household size and income, and we consider special circumstances when providing assistance.

Welcome, and we encourage all who need assistance to apply. It's time for health and wellness with a YMCA membership.

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YMCA Financial Assistance for Membership

Please fill out the below form honestly and accurately. The YMCA reviews each application individually. We understand your financial records may not contain the entire picture of your financial needs. Please include any and all information you feel is applicable to your current situation.

Recipients are expected to be responsible for a percentage of the membership fees. Qualification for YMCA financial assistance for membership is reviewed every two years.

At the end of the form, you will be asked to upload your 2020 federal tax returns. 

If you do not file federal income taxes, please call 1-800-TAX-FORM (1-800-829-1040) for verification of non-filing or go to IRS.gov for other information.

If you are unemployed, draw social security, or a full-time student, please provide a summary of your unemployment benefits, SSI paperwork, or financial aid benefits and student schedule.

The YMCA will be in touch regarding the status of your application within seven business days. 

 

Adult Information

Primary Applicant
Format mm/dd/yyyy
Address
Please select the YMCA closest to you.
Name

Dependent Information

Please list all the dependent children in the household. Tax forms must reflect those you list below.
Child Name
Format mm/dd/yyyy
Child Name
Format mm/dd/yyyy
Child Name
Child Name

Your Story

Please share your reasons for applying for YMCA financial assistance. Please include any and all relevant details about recent life changes or anything you deem important. 

For example, a recent separation, job loss, or caring for an elderly parent. 

Tax Returns

Please submit your 2020 federal tax returns (Form 1040 pages 1 and 2 only, or 1040 EZ). If you're a student or if you receive social security disability, please provide your SSI. 

If you do not file federal income taxes, please call 1-800-TAX-FORM (1-800-829-1040) for verification of non-filing or go to IRS.gov for other information.

If you are unemployed, draw social security, or a full-time student, please provide a summary of your unemployment benefits, SSI paperwork, or financial aid benefits and student schedules.

You may upload up to four files. 
 

Only image and PDF files are accepted.
Maximum 4 files.
10 MB limit.
Allowed types: gif, jpg, png, pdf, .
I certify that this information is true and complete to the best of my knowledge. I grant permission to the YMCA to verify this information. I agree to notify the YMCA if my financial status should change. 
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