FINANCIAL AID APPLICATION for ECE, HYC, Camp, and JCC Maccabi Games and ArtsFest

Transcription

1 FINANCIAL AID APPLICATION for ECE, HYC, Camp, and JCC Maccabi Games and ArtsFest Financial Aid Checklist In order for this application to be reviewed, you must have already submitted all registration forms or enrollment contract (ECE only) along with the required deposit for each child for whom you are applying for financial assistance. No financial aid applications will be reviewed unless all registration/enrollment forms and a program deposit have been received. After the financial aid application has been completed, sign the application and attach the following items: a Copies of your past two Federal Income Tax Return for all parents/guardians, including W-2 forms for all parents/guardians a Copies of monthly mortgage statement or copies of receipts for rent checks for two consecutive current months or copies of current rental contract Note: If parents do not live together, both parents must complete financial aid applications and submit required documentation. Submittal Dates and Process You are responsible for ensuring that your financial aid package is received no later than the dates below corresponding to the program to which you are applying: Maccabi - Israel Maccabi - Philadelphia ECE Camp HYC December 29 March 1 April 1 April 1 April 29 To protect your privacy and ensure timely processing of your application, return the completed package only to: JCCSF Financial Aid Administrator 3200 California Street San Francisco, CA If you have any questions about the financial aid process, please forward them to financialaid@jccsf.org. Please retain a copy of this application for your records. We look forward to welcoming your child.

2 FINANCIAL AID APPLICATION: Child Information Child name: Age: c Female c Male Birth date: School: c Public c Private Grade as of next Fall: Programs covered by this financial aid application: 1. TOTAL COST: TOTAL Fee/Tuition = $ 2. WHAT COST WILL YOU COVER? The scholarship committee expects families to contribute toward fees. a. Record what family can contribute towards total tuition/program fees $ b. Funding from grandparent or relative $ c. Funding from other scholarship source: $ d. Total Contibution (add Lines 2a through 2c) $ 3. SCHOLARSHIP REQUESTED (subtract Line 2d from Line 1) $ Child name: Age: c Female c Male Birth date: School: c Public c Private Grade as of next Fall: Programs covered by this financial aid application: 1. TOTAL COST: TOTAL Fee/Tuition = $ 2. WHAT COST WILL YOU COVER? The scholarship committee expects families to contribute toward fees. a. Record what family can contribute towards total tuition/program fees $ b. Funding from grandparent or relative $ c. Funding from other scholarship source: $ d. Total Contibution (add Lines 2a through 2c) $ 3. SCHOLARSHIP REQUESTED (subtract Line 2d from Line 1) $ PAGE 1 of 4

3 FINANCIAL AID APPLICATION: Family Information PARENT 1 c Male c Female c Parent c Stepparent c Guardian c Other PARENT 2 c Male c Female c Parent c Stepparent c Guardian c Other Name: Name: Address: Address: City, County, Zip: City, County, Zip: Home Phone: Home Phone: Cell Phone: Cell Phone: Work Phone: Work Phone: Relationship between Parent 1 and Parent 2: c Married c Separated c Divorced c Partner c Other Parent 1 Tax return filing status: Parent 2 Tax return filing status: c Married c Head of Household c Single c Married c Head of Household c Single Who claims the applicant for tax purposes? c Both c Par 1/ Par 2 Alternate years c Parent 1 c Parent 2 Total exemptions claimed on most recent federal tax return? Parent(s) + Children + Other = TOTAL List all education expenses for all members of the household (including day care, private school, and college) MEMBER OF HOUSEHOLD SCHOOL NAME CURRENT GRADE ANNUAL TUITION [BOX A] ANNUAL FINANCIAL AID ASSISTANCE FROM ALL SOURCES [BOX B] PARENT PAYS ANNUALLY [BOX C = A-B] TOTAL PAGE 2 of 4

4 FINANCIAL AID APPLICATION: Financial Information Please complete the information below, entering 0 if the category does not apply ANNUAL INCOME AMOUNT AVERAGE MONTHLY EXPENSES* AMOUNT Parent 1 Gross Wages Parent 2 Gross Wages Rent or Mortage (include real estate taxes) Household Expenses, Food, Utilities, etc. Interest Income Dividend Income Alimony Income Business Income (Schedule C) Capital Gain (Loss) (Schedule D) Pensions, Annuities & IRA Distributions Real Estate Income (Loss) (Sch E, pg 1) Partnerships, S-Corps, Trusts & Estates Unemployment, Disability, VA Benefits Medical Out-of-Pocket Expenses Auto Loan or Lease Payments Gas, Car Insurance, Maintenance, Local Transportation Alimony and Child Support Expense Clothing, Entertainment, Vacation Monthly Tuition Expense (day care, private school, college, etc.) Refer to BOX C on PAGE 2. Divide total by 12 months. Children s Extracurricular Expenses (sports, lessons, tutoring, etc.) Other Insurance Expense Social Security Food Stamps, Other Government Assistance Child Support Income Indirect Child Support (expenses paid by others on behalf of your child) TOTAL ANNUAL INCOME $ 0 TOTAL MONTHLY EXPENSES $ 0 * Exclude credit card debt. Investment Real Estate Owned Address, City, State, Zip Date of Purchase Purchase Price Current Mortgages Current Value PAGE 3 of 4

5 An explanation of your family s financial circumstances is a mandatory part of this application for financial aid. PAGE 4 of 4 STATEMENT OF NEED: Describe any changes in family or economic circumstances over the past year that support your request for financial aid this year. Include known events that will impact your family. If a parent has lost their job or work hours were reduced, please indicate the date, the estimated cost of this change, and which parent (one or both parents) was affected. ADMINISTRATIVE USE ONLY: Parent(s) whose information is represented in the application must sign below to indicate they have read and agreed to the following terms. I hereby certify that all information provided in this application is true, correct and complete. I authorize the JCCSF to make anonymous and share this information with one or more scholarship committee(s) for the purpose of granting a scholarship award. I further authorize the JCCSF to make additional inquiries they consider necessary to assure accuracy of the information provided. Parent 1/ Guardian signature: Date: Parent 2/ Guardian signature: Date: