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SUBSIDY APPLICATION FORM FOR THE 2020-2021 SCHOOL YEAR
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SUBSIDY APPLICATION FORM FOR THE 2020-2021 SCHOOL YEAR
SUBSIDY APPLICATION FORM FOR THE 2020-2021 SCHOOL YEAR
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2020-05-05T00:52:19+00:00
Applications will be processed only when all information and supporting documents have been received, and all outstanding tuition from prior years has been paid in full.
Copies of the following must accompany this application:
(a) Complete Income tax return(s) and Notice(s) of Assessment for 2019 for all family members, trusts, and corporations
(b) Housing lease/current mortgage statement (if applicable)
(c) Latest year-end accountant prepared financial statements (if applicable)
(d) RRSP, RESP & RDSP statement(s) (if applicable)
(e) Divorce or Separation Agreement (if applicable)
Family Composition
Family Name:
Family Name
Press the + to add another child
Names of Students attending ANY School
Entering Grade
School Name and Campus
Tuition Fee Paid
School attended last year if different
Other Dependent Children: (NOT currently enrolled in a school)
Press the + to add another child
Name
Age
Parents
Father
Occupation
Employer
Mother
Occupation
Employer
Financial Information
Total Taxable Income (line 150 from 2019 tax return)
Parent 1
Parent 2
Child
Total
Non-Taxable Income:
Parent 1
Parent 2
Child
Total
Canada Child Benefit
Parent 1
Parent 2
Child
Total
Gifts or other assistance
Parent 1
Parent 2
Child
Total
Disability Benefits
Parent 1
Parent 2
Child
Total
Support from others
Parent 1
Parent 2
Child
Total
Other (specify)
Parent 1
Parent 2
Child
Total
Total Income from all sources
Parent 1
Parent 2
Child
Total
Assets
Real Estate
Value ($)
Value ($)
Notes
Vehicles (include year, make, & model)
Value ($)
Value ($)
Notes
Non-Registered Investments
Value ($)
Value ($)
Notes
TFSA
Value ($)
Value ($)
Notes
RRSP
Value ($)
Value ($)
Notes
RESP
Value ($)
Value ($)
Notes
RDSP
Value ($)
Value ($)
Notes
Total Assets
Value ($)
Notes
FAMILY EXPENDITURES
Enter amount and specify whether it is Monthly or Annual payment
Rent: 2019 Actual
Rent: 2020 Estimated
Mortgage: 2019 Actual
Mortgage: 2020 Estimated
Property Insurance: 2019 Actual
Property Insurance: 2020 Estimated
Property Taxes: 2019 Actual
Property Taxes: 2020 Estimated
Auto Lease Payment 1: 2019 Actual
Auto Lease Payment 1: 2020 Estimated
Auto Lease Payment 2: 2019 Actual
Auto Lease Payment 2: 2020 Estimated
Auto Insurance: 2019 Actual
Auto Insurance: 2020 Estimated
Health Insurance- Group Insurance premiums or private health: 2019 Actual
Health Insurance- Group Insurance premiums or private health: 2019 Actual
Health Insurance- Group Insurance premiums or private health: 2020 Estimated
Health Insurance- Group Insurance premiums or private health: 2020 Estimated
Health Insurance- Disability / Critical Illness Insurance premiums: 2019 Actual
Health Insurance- Disability / Critical Illness Insurance premiums: 2019 Actual
Health Insurance- Disability / Critical Illness Insurance premiums: 2020 Estimated
Health Insurance- Disability / Critical Illness Insurance premiums: 2020 Estimated
Health Insurance- Life Insurance premiums: 2019 Actual
Health Insurance - Life Insurance premiums: 2019 Actual
Health Insurance- Life Insurance premiums: 2020 Estimated
Health Insurance- Life Insurance premiums: 2020 Estimated
Babysitting, daycare, housekeeper: 2019 Actual
Babysitting, daycare, housekeeper: 2019 Actual
Babysitting, daycare, housekeeper: 2020 Estimated
Babysitting, daycare, housekeeper: 2020 Estimated
Camp fees: 2019 Actual
Camp fees: 2019 Actual
Camp fees: 2020 Estimated
Camp fees: 2020 Estimated
Extra-curricular activities: 2019 Actual
Extra-curricular activities: 2020 Estimated
Vacation (specify where): 2019 Actual
Vacation (specify where): 2020 Actual
Synagogue dues: 2019 Actual
Synagogue dues: 2020 Estimated
Charitable donations: 2019 Actual
Charitable donations: 2020 Estimated
Alimony and Child Support paid: 2019 Actual
Alimony and Child Support paid: 2020 Estimated
Support to parents/family (specify): 2019 Actual
Support to parents/family (specify): 2020 Estimated
Other (specify): 2019 Actual
Other (specify): 2020 Estimated
Unreimbursed Health Costs Details (attach documentation for major unreimbursed items including drugs)
Doctors (a): 2019 Actual
Doctors (a):2020 Estimated
Doctors (b): 2019 Actual
Doctors (b): 2020 Estimated
Doctors (c): 2019 Actual
Doctors (c): 2020 Estimated
Medications: 2019 Actual
Medications: 2020 Estimated
Therapy: 2019 Actual
Therapy: 2020 Estimated
Medical Equipment: 2019 Actual
Medical Equipment: 2020 Estimated
Other (specify): 2019 Actual
Other (specify): 2020 Estimated
Loans
Loan Payment to:
Total Loan Amount
2019 Actual Payments. Please specify either monthly or annual amount
Payment Frequency
Monthly
Annual
2020 Estimated Payments. Please specify either monthly or annual amount
Payment Frequency
Monthly
Annual
Loan Payment to:
Total Loan Amount
2019 Actual Payments. Please specify either monthly or annual amount
Payment Frequency
Monthly
Annual
2020 Estimated Payments. Please specify either monthly or annual amount
Payment Frequency
Monthly
Annual
Loan Payment to:
Total Loan Amount
2019 Actual Payments. Please specify either monthly or annual amount
Payment Frequency
Monthly
Annual
2020 Estimated Payments. Please specify either monthly or annual amount
Payment Frequency
Monthly
Annual
Loan Payment to:
Total Loan Amount
2019 Actual Payments. Please specify either monthly or annual amount
Payment Frequency
Monthly
Annual
2020 Estimated Payments. Please specify either monthly or annual amount
Payment Frequency
Monthly
Annual
Taxes Owing (arrears) - Total Loan Amount
2019 Actual Payments
Payment Frequency
Monthly
Annual
2020 Estimated Payments
Payment Frequency
Monthly
Annual
Other debt - Total Loan Amount
2019 Actual Payments
Payment Frequency
Monthly
Annual
2020 Estimated Payments
Payment Frequency
Monthly
Annual
SPECIAL CIRCUMSTANCES
We understand that having a child with a disability can be costly. Please use this space to provide more detail on expenses relating to your family’s needs (attach a letter if necessary). The tuition committee will do their best to take all matters into consideration.
We are unable to pay the full tuition fee and therefore request financial assistance. We offer to pay a tuition fee of the amount below per child for the 2020-2021 school year for our children registered at Kayla’s Children Centre.
Consent
We hereby verify that all information is complete and correct. We understand that the information will be reviewed and is subject to verification by the tuition committee. We further understand that the tuition committee will upon completion of this review notify us of the tuition amount the committee has determined appropriate. Misrepresentation or non-disclosure may void any agreed tuition and the school has the option of re-evaluating the tuition, treating the family as full fee payers or refusing admission to the school. All information submitted and the results of this review are treated as strictly confidential. In submitting and signing this application form, we acknowledge and consent to the sharing of this information with members of the committee, and, in the case of families with children at more than one Jewish day school or, in the case of children who transfer to another Jewish day school, the professional staff and tuition committee members at the other affiliated Jewish day school(s).
Date
MM slash DD slash YYYY
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