2018-19 Temple School Scholarship Application - Form - Temple Beth El

2018-19 Temple School
Scholarship Application

Temple School is pleased to be able to offer need-based financial assistance toward tuition. We strive to enable every Jewish child to attend Temple School, regardless of income. We recognize that completing this form may cause discomfort for you and your family. We want you to know that we respect your privacy and will keep these forms under the utmost confidentiality. Because scholarship funds are limited, it is important that requests are received as early as possible so that we may promptly consider all requests with the aim of benefiting the most children. Please return the completed form to the Temple office. We will contact you regarding this request.

Thank you for carefully completing every part of this form which will help streamline the application process and accelerate the selection of scholarship recipients.

How many students are applying for a scholarship?

Student 1 - Name

Student 1 - Grade

Student 2 - Name

Student 2 - Grade

Student 3 - Name

Student 3 - Grade

Student 4 - Name

Student 4 - Grade

Required: Please specify the total dollar amount you are applying for in the box below:

How many Parents/Guardians are on this Temple Account?

Please Select OneOne Parent/GuardianTwo Parent/Guardians

Parent/Guardian 1 - First Name

Parent/Guardian 1 - Last Name

Parent/Guardian 1 - Email

Parent/Guardian 1 - Cell Phone

Parent/Guardian 1 - Home Phone

Parent/Guardian 1 - Work Phone

Parent/Guardian 2 - First Name

Parent/Guardian 2 - Last Name

Parent/Guardian 2 - Email

Parent/Guardian 2 - Cell Phone

Parent/Guardian 2 - Home Phone

Parent/Guardian 2 - Work Phone

Debt Level: ($ amount)

Regular Monthly Expenses:

Our household consists of x Adults

Our household consists of x Children

Other: Social Security has ceased, parent/guardian lost a job. Please provide a brief description for any of these items or the ones checked above.

Have you incurred other educational expenses for the members of your family? ie day care, religious school, and K-12 secular education.

Student Names:

Names of Educational Institutions:

Total Annual Tuition:

Total Annual Financial Aid Assisstance:

Parent Pays Annually

Have you incurred expenses for any of the following life-cycle events this past year: b'nai mitzvah, funeral, elder care or wedding

Event

$ Amount

Have you incurred expenses for any of the following this past year: home renovation, vacation/travel, automobile purchase or other major expense

Home Renovation

Home Renovation $ Amount

Vacation/Travel

Vacation/Travel $ Amount

Automobile Purchase

Automobile $ Amount

Other major Expense

Please specify expense

Other Expense $ Amount

I certify that all the information provided in this request is true, correct and complete.
I authorize Temple Beth El to make whatever inquiries are deemed necessary.

Parent/Guardian Signature

Date