tuition assistance supplemental info

1
College Tuition not applicable Student name/s College/s attending Total tuition cost Have you or your student/s applied for and received student loans or grants? YES NO What has the college awarded you in tuition assistance? What is the net cost to you for tuition each year? Summer Camp/Program not applicable List each of your children who will attend Jewish camp this summer the name of the of camp name and amount you paid per child Name Name Camp/Program Name Camp/Program Name Cost Your cost Cost Your cost Name Name Camp/Program Name Camp/Program Name Cost Your cost Cost Your cost Synagogue not applicable Do you belong to a synagogue? YES NO If yes, please write the synagogue name here Annual Dues Adjusted Dues If the synagogue has reduced your membership, please put the net amount you pay per year. Tuition Assistance (TA) Supplemental Information e information provided on this form will give our TA committee a more accurate picture of your financial situation. e committee will use this information to determine TA. Please complete and fax to FACTS Management Company at 866-315-9264. Date Parent Student

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Page 1: Tuition Assistance Supplemental Info

College Tuition not applicable

Student name/s

College/s attending

Total tuition cost

Have you or your student/s applied for and received student loans or grants? YES NO

What has the college awarded you in tuition assistance?

What is the net cost to you for tuition each year?

Summer Camp/Program not applicable

List each of your children who will attend Jewish camp this summer the name of the of camp name and amount you paid per child

Name Name

Camp/Program Name Camp/Program Name

Cost Your cost Cost Your cost

Name Name

Camp/Program Name Camp/Program Name

Cost Your cost Cost Your cost

Synagogue not applicable

Do you belong to a synagogue? YES NO

If yes, please write the synagogue name here

Annual Dues Adjusted Dues

If the synagogue has reduced your membership, please put the net amount you pay per year.

Tuition Assistance (TA) Supplemental InformationThe information provided on this form will give our TA committee a more accurate picture of your financial situation. The committee will use this information to determine TA. Please complete and fax to FACTS Management Company at 866-315-9264.

Date Parent

Student