YMCA of the Triangle

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FOR YOUTH DEVELOPMENT
FOR HEALTHY LIVING
FOR SOCIAL RESPONSIBILITY

YMCA Financial Assistance for Programs

Please fill out the below form honestly and accurately. The YMCA reviews each application individually.

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.

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 program fees. Qualification for YMCA financial assistance for programs is reviewed every year.

At the end of the form, you will be asked to upload your 2023 federal tax returns. 

Important

The YMCA of the Triangle provides financial assistance for people living in our regions including Chatham, Durham, Johnston, Lee, Orange and Wake counties in North Carolina.

 

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 who whom 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 2023 or 2022 federal tax returns (Form 1040 pages 1 and 2 only, or 1040 EZ). 

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

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

You may upload up to four files. Please make sure you have marked over personal data information such as social security numbers. 

Only image and PDF files are accepted.
One file only.
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. 

Program Information

YMCA financial assistance is available for a variety of our programs. Please select the programs you need for your family. 

Select Your Program
24- 25 After School Programs
24-25 Before School Programs
24-25 Track Out Camp
Leaders Club
Y Achievers
Y Guides
YOTA Swim Team
YMCA Super Skippers
Youth Sports
Youth Swim Lessons
Please list your child(ren) schools.
Please enter the name of your student's Youth & Government delegation.
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