Mandel JDS Tuition Affordability Application Form - SUBMIT BY SUNDAY, January 5, 2025
Families with Adjusted Gross Income between $150k and $300k. Look at line 11 on your 2023 Federal Income Tax Form 1040. Be sure to bring/send in the first two pages of this return to Janet Keane's attention by January 6, 2025.
Parent 1 Name (main contact)
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First Name
Last Name
Parent 1 Email
*
example@example.com
Parent 2 Name
*
First Name
Last Name
Child #1 Name
*
First Name
Last Name
Child #1 Grade for 25-26
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Please Select
Kindergarten
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2
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Early Childhood
Child #2 Name
First Name
Last Name
Child #2 Grade for 25-26
Please Select
Kindergarten
1
2
3
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8
Early Childhood
Child #3 Name
First Name
Last Name
Child #3 Grade for 25-26
Please Select
Kindergarten
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2
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Early Childhood
Total Family Adjusted Gross Income $ shown on most recent IRS Form 1040 LIne 11:
*
Please provide a hard copy of the first two pages of your 2023 IRS Form 1040 and send to the MJDS office attention Janet Keane by Monday, January 6, 2025. I/We wish to enroll in the Mandel JDS Affordability Initiative Program. I/We understand that the filed tax return will be used to finalize our Affordability Initiative Grant for the 2025-2026 school year.
Any questions should be referred to Janet Keane, Mandel JDS CFO jkeane@mandeljds.org
Parent 1 Signature - agree to send first 2 pages of Form 1040 by January 6, 2025 - see above
Submit
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