Get Clark Memorial Ymca

This guide provides clear instructions on how to complete the Clark Memorial YMCA financial assistance application online. By following these steps, users will be able to accurately fill out their application for a two-week pass and financial assistance.

Follow the steps to complete your application successfully.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the name and date of birth for Adult 1 and Adult 2 in the respective fields provided. Ensure that you fill in the sex field accurately.
3. Complete the address section by providing your full address, including city, state, and zip code.
4. List your home and alternate phone numbers in the designated fields.
5. Provide income information for both adults in the household. Indicate the average hours worked per week and hourly wage for both adults.
6. Answer the questions regarding any additional income sources, such as Social Security, SSI, Welfare, Child Support, Food Stamps, Pension, and Family Support. Include other financial assistance if applicable.
7. Attach or provide details for the last four payment stubs and proof of any income as required.
8. List any dependents under the age of 18 by entering their names, birth dates, and sex.
9. Indicate whether you are currently or have ever been a member of the Clark Memorial YMCA and select the desired membership type.
10. If interested, specify any program areas you would like additional information about and indicate if you are interested in volunteering.
11. Provide any additional information that may assist in the review of your application in the designated section.
12. Read and agree to the application’s statement by signing and dating the document. Ensure that all provided information is accurate and complete.
13. Finally, you can save changes, download, print, or securely share your completed form.

Complete your application online to take the first step towards gaining membership at the Clark Memorial YMCA.