2025 C FORM

Step 1: Enter Your Estimated Gross Annual Income from 2024

Camp Hatikvah uses income thresholds as the first step in determining eligibility to be considered for a campership grant. It is our hope that this will improve transparency and consistency in our process for both our applicants and the supporters who fund our campership program.

Please complete the following chart with your estimated Gross Annual Income from 2024. If you have no income to report on a particular line, please record "0".*

	Parent 1	Parent 2
Gross Employment Income (i.e pre-tax income)
Canada Childcare Benefit (CCB)
Government Assistance (E.I., Disability, etc)
Spousal Support
Child Support
Business Income/Dividends
Investment/Interest Income
Real Estate/Rental Income
Income from other sources
Annual Family Support (i.e. the amount your parents or other family members give you per year towards household expenses, educational costs, camp etc)

Parent 1 Total Income:
Parent 2 Total Income:
The number below represents your family's estimated gross income for 2024:
Step 2: Enter Your Jewish Education Costs for 2024/2025

We understand the significant financial commitment that families face when juggling the costs of providing both a Jewish education and a Jewish camp experience for their children. Acknowledging the challenges of financing these important Jewish experiences, we have created a formula to allow families to deduct the cost of their child(ren)'s Jewish education from their gross income before we determine eligibility for a Campership Grant.

By accounting for Jewish educational expenses, we aim to create a more accurate representation of a family's available resources to pay for our camp program.

If your child(ren) are attending Jewish Day School or Jewish Supplemental School, please list their after-aid tuition costs here. Please enter "0" if you have no Jewish day school fees to report: *

	Child's Name	School Name	2024/2025 After-Aid Tuition Cost
Child 1
Child 2
Child 3
Child 4
Child 5

Total Jewish Tuition Costs
The number below represents your family's adjusted income after deducting your reported Jewish education costs from your reported gross income. This is the income level that will be used in determining your eligibility under our income thresholds.

Thank you for using our financial eligibility calculator. Based on the information you provided, it appears that your income is within the range that typically qualifies for our financial assistance program. We're pleased to inform you that you are likely eligible for support and we encourage you to submit a full campership application for review.

With that said, please note that this calculator was designed to predict eligibility based on your income level only. If you decide to submit a full application, we will do a full review of your finances. Families with significant real estate equity and/or more than $250,000 in combined cash, savings or investments are unlikely to be approved regardless of income level.

Further, all campership grants are awarded at the sole discretion of our campership committee who reserve the right to take a variety of factors, including lifestyle choices, into consideration when determining what (if any) campership grant is awarded. While we absolutely encourage you to submit a full campership application, please be aware that doing so does not guarantee a grant.
Thank you for using our financial eligibility calculator. Based on the information you provided, you may qualify for a modest level of financial assistance and we welcome you to submit a full campership application for review.

With that said, please note that this calculator was designed to predict eligibility based on your income level only. If you decide to submit a full application, we will do a full review of your finances. Families with significant real estate equity and/or more than $250,000 in combined cash, savings or investments are unlikely to be approved regardless of income level.

Further, all campership grants are awarded at the sole discretion of our campership committee who reserve the right to take a variety of factors, including lifestyle choices, into consideration when determining what (if any) campership grant is awarded. While we absolutely encourage you to submit a full campership application, please be aware that doing so does not guarantee a grant.
Thank you for using our financial eligibility calculator. Based on the information you submitted, your income exceeds the typical threshold for financial assistance and, as a result, your family may not qualify for a campership.

With that said, we do recognize that an online calculator cannot reflect every factor that affects a family’s finances. If you believe your family has unique circumstances that warrents special consideration (i.e. you have multiple children attending our program or other extraordinary expenses), you are still welcome to submit an application to us for review.

Please note that in addition to income, the campership committee will review other aspects of your finances. Families with significant real estate equity and/or more than $250,000 in combined cash, savings or investments are unlikely to be approved.

Further, all campership grants are awarded at the sole discretion of our campership committee who reserve the right to take a variety of factors, including lifestyle choices, into consideration when determining what (if any) campership grant is awarded.
Would you like to proceed with completing Camp Hatikvah's full Campership application form?*

YesNo

Step 5: Disclose Your Residential Assets
Home Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you own this home?*

YesNo
What is the government assessed value of this home (BC residents can visit www.bcassessment.ca for this information):
How much do you owe on this home?
Total Equity In Home:
Do you own any other real estate?*

YesNo
Secondary real estate address: *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is the government assessed value of this property?*
How much do you owe on this property?*
Total Equity In Property:

Step 6: Disclose Your Non-Residential Assets

Please complete the following asset chart. Please use "0" where you have no assets to report.*

	Value
Cash/Savings In Bank
GIC's
Stocks, Bonds, Securities etc
RRSP's/Retirement Savings
Trusts/Inheritance
Business Assets
Other Assets

Total Value of Non-Residential Assets:

Please list the make, model and year of all of your cars:

	Make	Model	Year	Own/Lease
Car 1
Car 2
Car 3

Step 7: Record Your Expenses

Please complete the following chart:*

	Annual Cost
Annual Cost of Home Mortgage
Annual Cost of Property Tax
Annual Cost of Home Rent
Annual Cost of Home Insurance
Annual Cost of Food
Annual Cost of Toiletries/Care Products/Household Supplies
Annual Cost of Car Payment(s)
Annual Cost of Car Insurance
Annual Cost of Public Transportation
Annual Cost of Health Insurance
Annual Cost of Heat
Annual Cost of Electricity
Annual Cost of TV/Internet
Annual Cost of Phone Plans
Annual Cost of University Tuition for older children

Monthly Rent:
Monthly Mortgage Payment:
Total Annual Cost of Household Expenses:

Please list the total costs of extra-curricular programs for each of your children from January through December 2024 (Sports, Dance, Musical Theatre etc).

	Child's Name	Total Cost
Child 1
Child 2
Child 3
Child 4
Child 5

Please list the total costs of any vacations you or your family took/will take from January through December 2024.

	Destination	Reason For Trip	Total cost of airfare for all family members	Total cost of lodging for all family members
Vacation 1
Vacation 2
Vacation 3
Vacation 4
Vacation 5

Please list the total costs of any vacations you or your family are planning for 2025:

	Destination	Reason For Trip	Total cost of airfare for all family members	Total cost of lodging for all family members
Vacation 1
Vacation 2
Vacation 3
Vacation 4
Vacation 5

Step 9: Commentary
Please explain any extraordinary expenses that you have that you would like the committee to consider when reviewing your application (caring for aging parents, family with medical issues, etc.) or use this box to comment on any of the above information that might need clarification.
Will you be applying for any other subsidies to help afford camp?*

YesNo
Will any family members (parents etc) be helping you pay for Camp Hatikvah this summer?*

YesNo
What is the numerical value of the support they will provide (i.e. $1,000, $3,000 etc).
Are your children attending any other overnight summer program other than Hatikvah*

YesNo

Step 9: Upload Your Documents
Please attach your 2023 Tax Return(s) here:*

Cancelof
Please attach your 2023 Notice of Assessments(s) here:*

Cancelof
If your child is in Jewish Day School, please attach your 2024/2025 school invoices here:

Cancelof

Step 10: Certification
To the best of my knowledge, all information in this application is true and correct. I understand that if my application is incomplete and/or deemed by the Camp Hatikvah to be in bad faith, my child(ren) will be immediately withdrawn from Camp Hatikvah for the summer of 2025 (with no possibility of re-enrolment) and all payments made to date will be forfeited. I understand that an anonymous committee will review my application and have the right to ask for more information and supporting documentation to verify the answers I have provided on this form. If asked to by Camp Hatikvah, I will provide said documentation in a timely fashion or any offer of financial assistance given to me may be withdrawn.
Acknowledged By:*

First NameLast Name
Email*
example@example.com
Date*

MonthDayYear
Date
Should be Empty:

	First Session	Second Session	SITs	Combo Session (Grades 6/7/8)	Giborim	K'tanim
Camper 1
Camper 2
Camper 3
Camper 4