YMCA of Greensboro
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Thank you for applying for financial assistance through the Financial Assistance Program of the YMCA of Greensboro. The YMCA of Greensboro is a nonprofit, community-based, health and human services organization that is committed to helping people achieve their full potential in spirit, mind and body. The YMCA’s financial assistance is available to people of all ages, backgrounds, abilities and incomes.

Each year, the YMCA of Greensboro provides hundreds of thousands of financial assistance dollars to youth, families and seniors. These funds are made possible through the generous donations to our Annual Giving Campaign from our members, staff, volunteers and community partners.

Please complete the form below or download a printable application (English) or printable application in Spanish and submit the required documents (English) or required documents in Spanish to a YMCA of Greensboro location. A Y representative will contact you regarding your submission. If you have any questions, please call the branch you are interested in joining or call (336) 854-8410. 

Financial Assistance Application Form

Location
Gender
Please select your preferred method of contact.
Demographic
Are you new to the YMCA Financial Assistance Program or is this a renewal?
Membership (select if applicable)
Program/Activity (select if applicable)

Please indicate the following information in this order:

First name Last name, Date of Birth (MM/DD/YYYY), Gender (M or F), Relationship

Example: John Doe 12/03/1999, M, Brother

Reason assistance is needed.

The income fields below are mandatory. Please enter $0 if there is none.

I, along with those included on my membership and my guests, will adhere to the values of the YMCA—caring, honesty, respect, and responsibility—while within a YMCA facility or participating in any YMCA program. Failure to do so may result in my membership or program privileges being revoked.

I verify that all information submitted is correct, complete, and accurate. If my situation changes, I agree to notify the YMCA within 30 days. If I submit false or inaccurate information, or fail to notify the YMCA within 30 days, my participation in the Financial Assistance program may be terminated.

I consent to the use of photographs of myself and/or members of my family for displays, brochures, and promotional materials, with no compensation to me or my family.

I understand that I will be given a deadline by which I must respond to accept the scholarship.

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