• Financial Assistance Application

  • ***LATE APPLICATIONS - Applications submitted after 4 p.m. on 3/01/2021 will be reviewed after 3/22/2021 and subject to the availability of funds.

  • Financial Assistance Application Checklist

    Please review the Financial Assistance Application Checklist by clicking on the blue text below.
  • Prior to filling out this application please make sure you have the following:
         a) 2019 completed individual tax return (PDF format)

    *If your 2020 tax returns are completed please upload those instead of the 2019 tax returns (PDF format)

         b) 2020 W-2 forms for all guardian(s) (PDF format)
         c) Debit or credit card for $25 Financial Assistance Application processing fee
    ***The above documents are required to submit this form. This form must be completed in one sitting. Incomplete applications cannot be processed.***


    Due Dates:
    The completed application and supporting documents for current families are due no later than 4 p.m. on March 1, 2021. New applicant(s) to HBHA are required to submit all documents by communicated deadlines.

    Note: Fields below may have directions or instructions to the right when you hover over it.

  • Amount of Financial Assistance Request

    How much are you requesting in Financial Assistance for all student(s) attending HBHA during 2021-22 academic year?
  • Primary Contact Information

    Primary person HBHA will contact during the financial assistance process.
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  • Contact and Demographic Information

    Parent/Guardian(s) contact information
  • Jewish Community Programs/Services

  • Community Involvement

  • Employment Information

  • Please indicate the anticipated amount of gross earnings your household will receive during the 2021-22 school year(if not applicable enter "0.00"):

  •  -
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  • Additional Financial Information

    2021-22 School Year Income
  • If you are divorced or separated, please answer the following questions (Enter "0.00" if this does not apply to you):

  • Other individual(s) who regularly help pay for family expenses:

  • Tax Information

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  • Household Expenditures

    What amounts do you anticipate paying for the following items during the 2018-19 school year: (Enter "0.00" if you do not have any expenses for that category, enter "N/A" in other explanation if it is not applicable)
  • Statement of Unusual or Temporary Circumstances

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  • Financial Assistance Application Fee

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    Total   $ 0.00

    Credit Card
    Billing Address
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