Tuition Assistance Application

Child 1 Name

First Name

Last Name

Child 1: What program are you enrolling your child in?

Child 1: If you are enrolling in JKG Afternoon Community, how many days per week do you plan to enroll your child?

If you are unsure, please provide your best guess.

Child 1: If you are enrolling in JKG Afternoon Community, will you need JKG transportation from your child's school for an additional fee?

Child 2 Name

First Name

Last Name

Child 2: What program are you enrolling your child in?

Child 2: If you are enrolling in JKG Afternoon Community, how many days per week do you plan to enroll your child?

If you are unsure, please provide your best guess.

Child 2: If you are enrolling in JKG Afternoon Community, will you need JKG transportation from your child's school for an additional fee?

Additional Child Information

If you are applying to receive tuition assistance for more than two children, please include the additional child(ren) name(s), program, days per week (if afternoon community), and transportation needs (if afternoon community).

Parent/Guardian 1 Name

First Name

Last Name

Parent/Guardian 1 Email

Parent/Guardian 1 Phone

(###)

###

####

Parent/Guardian 1 Employment Status

Parent/Guardian 1 Employer

Please provide the name of your employer.

Parent/Guardian 1 Occupation

Please provide details about your occupation.

Parent/Guardian 1 Marital Status

Parent/Guardian 2 Name

First Name

Last Name

Parent/Guardian 2 Email

Parent/Guardian 2 Phone

(###)

###

####

Parent/Guardian 2 Employment Status

Parent/Guardian 2 Employer

Please provide the name of your employer.

Parent/Guardian 2 Occupation

Please provide details about your occupation.

Parent/Guardian 2 Marital Status

Ability to pay per child, per month

We don't want program costs to be a barrier to your child's Jewish education. Please share with us how much you are able to pay per child, per month.

Please provide any information the committee should keep in mind when reviewing your application and reported ability to pay (i.e. changes in employment, income, household size, unexpected bills, why you'd like your children to attend JKG, etc.)

Please include as much detail as you can in this section.