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)
*
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
*
Please Select
Kindergarten
1
2
3
4
5
6
7
8
Early Childhood
Child #2 Name
First Name
Last Name
Child #2 Grade for 25-26
Please Select
Kindergarten
1
2
3
4
5
6
7
8
Early Childhood
Child #3 Name
First Name
Last Name
Child #3 Grade for 25-26
Please Select
Kindergarten
1
2
3
4
5
6
7
8
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. Rules of Eligibility: 1. Family Adjusted Gross Income (AGI) must be between $150,000 and $300,000 annually. Families making less than $150,000 AGI are invited to apply for traditional tuition assistance. 2. Most of the family's income is from W-2 sources, i.e. not self-employed businesses. 3. Families must submit a new application and meet eligibility requirements each year. 4. MandelJDS Application for Admission and hard copy of the first two pages of most recent IRS Form 1040 must be submitted with completed application form. 5. This program is only for families with at least one student entering Kindergarten –8th Grade only.
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
Should be Empty: