Confidential Financial Assistance Application
PLEASE SUBMIT THIS FORM TO THE ACCOUNTING DEPARTMENT ALONG WITH THE FOLLOWING INFORMATION:
- A brief personal statement describing your need and how this JCC program or membership will benefit you
- Most recent Federal 1040 Tax Return
- Most recent pay or pension stub, current W-2 or 1099, and Social Security award letters if applicable.
Program application and/or membership application must be completed prior to the Financial Assistance Application. Applications are located on our website at https://www.lfjcc.org/. Your application will be handled with care and confidentiality. Applications are reviewed on a monthly basis, and you will be notified of the outcome after the review is complete. Financial assistance is intended to cover a portion of the program fees (not 100%).