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Stevens Point Area YMCA Financial Assistance Applicant Information Name Gender DOB / / Address City State Zip Code Home Phone () — Work Phone () — Emergency Phone () — Email Employer/ Occupation
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Start by entering your full name in the designated field. Make sure to include your first name, middle name (if applicable), and last name.
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The next step is to select your gender. Choose the option that best represents your gender identity, whether it is male, female, or other.
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After selecting your gender, input your date of birth in the required format. Typically, you will need to enter the day, month, and year of your birth.
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Name gender dob requires reporting of name, gender, and date of birth information.
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