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Y Experience Scholarship Application
Y Experience Scholarships help remove the financial barriers to accessing YMCA facilities, programs, and services. The scholarship provides individuals and families the opportunity to participate in the life-changing programs and services offered by the YMCA regardless of age, background, ethnicity, ability, or income. 
21Questions
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  • English (US)
  • Spanish (Latin America)
  • 1
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  • 3
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  • 6
    Please Select
    • Please Select
    • United States
    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curacao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jersey
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
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  • 7
    • Bremerton Family YMCA
    • Gordon Family YMCA
    • Haselwood Family YMCA
    • Lakewood Family YMCA
    • Mel Korum Family YMCA
    • Morgan Family YMCA
    • Tacoma Center YMCA
    • Tom Taylor Family YMCA
    • University Y Student Center
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  • 8
    • 0
    • 1
    • 2
    • 3
    • 4
    • 5
    • 6+
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  • 9
    • Spouse/Partner
    • Child/Child in Foster Care
    • Dependent Adult
    • Other
    • Yes
    • No
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  • 10
    • Spouse/Partner
    • Child/Child in Foster Care
    • Dependent Adult
    • Other
    • Yes
    • No
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  • 11
    • Spouse/Partner
    • Child/Child in Foster Care
    • Dependent Adult
    • Other
    • Yes
    • No
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  • 12
    • Spouse/Partner
    • Child/Child in Foster Care
    • Dependent Adult
    • Other
    • Yes
    • No
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  • 13
    • Spouse/Partner
    • Child/Child in Foster Care
    • Dependent Adult
    • Other
    • Yes
    • No
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  • 14
    • Spouse/Partner
    • Child/Child in Foster Care
    • Dependent Adult
    • Other
    • Yes
    • No
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  • 15
    This helps us determine which documents to request for income verification.
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  • 16
    We do not accept W-2s or bank statements for your security.
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  • 17
    We do not accept W-2s or bank statements for your security.
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  • 18
    You may upload original files or photos of the documents.
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    Select files to upload
    Max. file size: 10.0MB
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  • 19
    Please share any additional information not included on this form, if appropriate. Also, tell us how a YMCA membership will benefit you and/or your family.
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  • 20
    My signature, below, certifies I have read and understand the following: The information supplied herein is true, accurate, and complete to the best of my knowledge. I am aware it is my responsibility to notify the YMCA in writing of any changes to the information supplied in this application, such as income, address, and/or other matters that might affect my eligibility for a Y Experience Scholarship. I understand that failure to comply with YMCA policies can and may result in immediate revocation of membership and program privileges. I am also aware that the YMCA reviews my application bi-annually, and failure to submit review paperwork will result in my membership fees being adjusted to the current full membership rate.
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  • 21
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  • 22
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Y Experience Scholarship Application
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