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RS 2023/24 Financial Assistance Form

TBH Religious School
FINANCIAL ASSISTANCE FORM (2023-2024)

 

We are thrilled to have you join or continue as a member of our Temple  Beth Hillel community. Temple Beth Hillel's financial assistance program is based on demonstrated need. Applications are kept strictly confidential and must be resubmitted annually. Additional information, such as tax documents, may also be requested.

Please make sure to fill out the entire application. If you have questions, please contact Andrea Arons Jaffe in the Religious School office.

Once you have completed the financial assistance form, our committee will review your application. If an award is given, you will be notified via email and your account will be updated to reflect the award of financial assistance. The email will provide instructions on how to log into your account and set up a payment plan. If you should run into any difficulty, please contact our accounting office.

Thank you for being a part of our community!

 


HOUSEHOLD INFORMATION


MEMBER INFORMATION

Member 1 Information

Member 2 Information

Please use this format: 310-555-1212.

Please use this format: 310-555-1212.


RESIDENCE INFORMATION

If "other," please explain

If you own, what is your current monthly mortgage payment?

If you own, what is the current value of your home?

If you rent, what is your monthly rent?
If you own a second residence, what is your monthly mortgage payment?
If you own a second residence, what is the value of the residence?

INCOME INFORMATION

Member 1 Income

Member 2 Income



DEPENDENT INFORMATION

(Please include all children, including college age dependents.)






FINANCIAL ASSISTANCE REQUEST

 

At Temple Beth Hillel, we recognize the uniqueness of each family’s financial situation. A financial award is only considered in circumstances where there is true financial need. In the space below, please describe, in detail, the reason for your request for financial consideration and any additional information not covered by this form.


WGA/ SAG-AFTRA STRIKE
If your household has been financially affected by the WGA/SAG-AFTRA strike, and you anticipate that the financial impact will continue through this fiscal year whether the strike ends or not, please let us know in the box below. Please be sure to be specific about the financial impact your family is experiencing and include a specific request for assistance. If additional documentation is required, we will request it via email.

SIGNATURE

 

By typing my name in the box below, I confirm that I regard financial consideration as a temporary situation and acknowledge that when my financial situation improves, I will return to a standard dues structure.

Please type your name in this box as your signature. By typing your signature, you confirm that all information included in this form is accurate.

Fri, March 1 2024 21 Adar I 5784