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Tuition Subsidy Request Form
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Tuition Subsidy Request Form
Tuition Subsidy Request form
Tuition Fees & Costs:
5785 – 2024/2025
$11,500 – Tuition fees
$3,000 – Dormitory costs
$4,000 – Meal costs
Bochur's Name
(Required)
First
Last
City
(Required)
Parent's Names
(Required)
Father
Mother
Email for Correspondence Re Tuition
(Required)
Tuition & Yeshiva Policies
Tuition & Fees
(Required)
I agree to the Tuition & Fees policy.
All payments will be made in a timely manner (as per your agreed schedule).
REFUNDS: No refunds will be issued due to absence voluntarily or involuntarily, illness or otherwise.
TERMINATION: If a Bochur leaves in middle of the year, his parents should notify the Yeshiva one month in advance. Tuition will be due for the two months following his departure.
SCHEDULE: Payments may be split over ten payments, starting August 1, and final payment no later than June 1.
DUE: A credit card pre-authorization must be submitted with final tuition agreement, or post-dated checks delivered prior to entering the Yeshiva year.
Additional charges
(Required)
I agree to the Additional charges
A 3% credit card processing fee will be added to card payments processed.
NSF: There will be a $50.00 charge for all checks returned.
Student Visa
(Required)
I understand
All foreign students must obtain a valid student visa (approx. $150CAD to be paid at border) when entering Canada. A student visa can be obtained at any Canadian border crossing by presenting a student letter from the school attended. For more information about study permit requirements please visit www.cic.gc.ca/english/study/study.asp.
Yeshivas Kayitz
(Required)
I understand that the tution fees do not include the Yeshivas Kayitz program
Damage Waiver
(Required)
Damage Waiver
I agree that if my son causes any damage to any of the Yeshiva property, my card will be charged for the repair. This will be determined at the sole discretion of the Hanhola.
Liability
(Required)
I agree to the Liability
Any and all valuables brought are the sole responsibility of the Bochur. Yeshiva is not responsible for anything lost or stolen.
US Pell Grant
(Required)
I am not eligible or do not wish to apply
I would like to apply for this grant
United States citizens may be eligible for the federal Pell Grant
Grant info
(Required)
I acknowledge that it is my responsibility to apply for the Pell Grant with 770 and to provide them with all necessary documentation
Before proceeding with your scholarship request, we ask that you check with our partner institution, Central Lubavitch Yeshiva 770, to determine if you are eligible for Pell Grants. Please contact Rabbi S. Spielman at: (718) 774-3430 ext 2 or 917-328-1594 directly to inquire about your eligibility and the potential grant amount.
Once you have determined your eligibility and the potential grant amount, please enter it below.
This will enable us to assess the discount we can provide based on the grant you are eligible for.
Grant Total
(Required)
As told to you by 770
Subsidy Options
(Required)
I request a small courtesy discount
I need a subsidy
5785 Tuition $11,500 This amount does not include dorm, food, Seforim, bus or Mikvah.
I request a courtesy discount of
(Required)
10%
20%
30%
40%
Subsidy
How many children do you have?
(Required)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Child 1
(Required)
Child Name
Name of School
Grade Entering
Actual Tuition paid last year
Child 2
(Required)
Child Name
Name of School
Grade Entering
Actual Tuition paid last year
Child 3
(Required)
Child Name
Name of School
Grade Entering
Actual Tuition paid last year
Child 4
(Required)
Child Name
Name of School
Grade Entering
Actual Tuition paid last year
Child 5
(Required)
Child Name
Name of School
Grade Entering
Actual Tuition paid last year
Child 6
(Required)
Child Name
Name of School
Grade Entering
Actual Tuition paid last year
Child 7
(Required)
Child Name
Name of School
Grade Entering
Actual Tuition paid last year
Child 8
(Required)
Child Name
Name of School
Grade Entering
Actual Tuition paid last year
Child 9
(Required)
Child Name
Name of School
Grade Entering
Actual Tuition paid last year
Child 10
(Required)
Child Name
Name of School
Grade Entering
Actual Tuition paid last year
Child 11
(Required)
Child Name
Name of School
Grade Entering
Actual Tuition paid last year
Child 12
(Required)
Child Name
Name of School
Grade Entering
Actual Tuition paid last year
Child 13
(Required)
Child Name
Name of School
Grade Entering
Actual Tuition paid last year
Child 14
(Required)
Child Name
Name of School
Grade Entering
Actual Tuition paid last year
Child 15
(Required)
Child Name
Name of School
Grade Entering
Actual Tuition paid last year
Income
Net Family gross income?
(Required)
Including Father, Mother, Rentals and all other income
Do you own your home?
(Required)
Yes
No
Are you self employed?
(Required)
Yes
No
Please point out any special circumstances or extraordinary expenses you would like the Tuition Committee to consider.
I propose to pay tuition in the amount of
(Required)
This amount does not include dorm, Seforim, bus, mikvah or food.
Notes
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