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Religious School Scholarship Form
Please verify reCaptcha before submitting the form.
Har Shalom Center for Jewish Living strongly supports the value of educating every Jewish child in the area, regardless of financial ability. Although tuition is necessary to meet our expenses, it should not be an educational barrier. We understand that tuition fees may be difficult for some families to pay. We want to work with you to ensure that both of our financial needs are addressed. There is a scholarship fund to support Har Shalom members who need assistance.
Scholarship applications are due by September 15
th
.
Recipients will be notified by October 1
st
regarding the decision of their application.
Please note:
The maximum scholarship available is 70% of ONLY the tuition amount
for the year. Fees and pizza plan are not eligible for scholarship assistance.
Families are responsible for 30% of the tuition amount
and must be enrolled in ACH auto-pay program to be approved.
Students must maintain 80% attendance to keep scholarship active.
That means no more than 6 absences for Sunday students and 10 absences for Sunday/Wednesday students.
Your account must remain in good standing or your child poses the risk of losing the scholarship. Good standing means that all charges, including Member Dues, must be paid in full each month.
Scholarships remain active for the current school year and need to be reapplied for each fall.
*
Parent First Name
*
Parent Last Name
Street address
Apt/Unit # (if applicable)
City
State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Parent phone number
Parent email
*
Please provide a brief explanation of your family's financial situation, and any other circumstances that may be exceptional and necessitate the need for financial assistance.
*
Please list all students for whom you are requesting a scholarship and their Religious School grade for the current school year.
EXAMPLE: Jane Smith, 5
Shared Responsibility Agreement
As a scholarship applicant, I understand that Har Shalom is willing to cover up to 70% of my child's tuition. I am personally responsible for paying the remaining 30% or whatever portion is not being covered by Har Shalom's Scholarship fund. The scholarship program only covers my child's tuition and I still am responsible for any fees associated with the program.
*
Yes I understand that I am responsible for paying the part of the tuition not covered by Scholarship
Yes I understand that I am responsible for paying the part of the tuition not covered by Scholarship
*
As a scholarship applicant, I understand that my child needs to be in attendance at least 80% of the year. That means no more than 6 absences for Sunday students and 10 absences for Sunday/Wednesday students.
As a scholarship applicant, I understand that my child needs to be in attendance at least 80% of the year. That means no more than 6 absences for Sunday students and 10 absences for Sunday/Wednesday students.
*
As a scholarship applicant, I understand that my membership at Congregation Har Shalom must be current (membership dues paid in full each month) for the current fiscal year (July 1 - Jun 30).
Please select
Yes, I am a Member in Good Standing
No, my membership is not current. Please have someone contact me regarding my membership status.
Unfortunately, we can only offer scholarships to current Congregation Har Shalom members. If you need to speak with someone about your membership status, please contact the CHS Executive Director (contact information will be provided on your confirmation email).
Sat, September 7 2024 4 Elul 5784