2025-26 ECS Tuition Assistance Application

2025-26 TUITION ASSISTANCE APPLICATION

Occurring between September 1, 2025 and August 31, 2026

Thank you for your interest in the Schwartz Early Childhood School (Schwartz ECS) program. Our goal is to ensure that as many children as possible are given the opportunity to attend Schwartz ECS.

To apply for Tuition Assistance you must have no outstanding obligations with SJCC and have an income at or below the levels on the Annual Household Income Chart (below). If you believe you qualify, follow the instructions below to complete your application. All the sections must be completed to be considered for tuition assistance.

APPLICATION INSTRUCTIONS

Household Income: Last Year Actual
1. If you are applying before April 15, 2025 Use the information from your 2024 Federal Income Tax Return to complete the Last Year Actual column.
2. If you are applying after April 15, 2026 Use the information from your 2025 Federal Income Tax Return to complete the Last Year Actual column. If your 2025 Federal Income Tax Return is not available in time prior to the submission deadline, you may use estimates and submit your 2025 Return once it is available; any award is conditional upon review and verification of your 2025 Federal Income Tax Return.
Household Income: This Year Estimate column, fill in the boxes with your estimates for the entire twelve months of 2026.
Household Size: Enter the total number of people in your household (adults and children); you will be asked to provide details for each member of your household in Section III below.

ELIGIBILITY

Initial eligibility is determined by the Percentage of Eligible Income, calculated based on your inputs in Section I (below).

If the Percentage of Eligible Income is less than or equal to 1.0, you are eligible to apply for Tuition Assistance.
If the Percentage of Eligible Income is greater than 1.0, you do not meet the initial eligibility criteria. However, you are still encouraged to complete and submit an application for consideration.

Annual Household Income Chart per 2025 King County HUD (Represents 80% of Median income):

2 Persons	3 Persons	4 Persons	5 Persons	6 Persons	7 Persons	8 Persons
$96,950	$109,950	$121,150	$130,850	$140,550	$150,250	$159,950

Family Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
I. Determining Eligibility

Complete thesection below, by following the steps below this section, to determine yourfamily’s initial eligibility.

Household Income

Rows	Last Year Actual	This Year Estimate
Wages, Salaries, tips , etc.
Social Security
Survivor Benefits
Child Support
Alimony
Unemployment
Student Loans
Retirement
Investments
Interest
Rentals
Business Income (Net)
Sale of Home (Net)
Sale of Business
Other (Please Describe)

Do you have a Child Support Agreement (last year or this year)?

Child Support

Rows	Last Year Actual	This Year Estimate
Child Support (Include copy of Child Support Agreement)

Upload Child Support Agreement

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Last Year Total
This Year Total
Median Income
Household Size
Include all adults and children living in your household
Eligible Income
% of Eligible Income
If you did not file a 2024 Federal Income Tax Return or have any special circumstances in your income situation please explain in the box below. Special circumstances can include: job loss, adult going back to school, elder care, etc.
You must provide supporting documentation such as divorce decree, alimony agreement, or child support agreement.

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II. COST OF TUITION AND FAMILY CONTRIBUTION

Please indicate inthe Family Contribution column what you are able to contribute toward yourchild’s tuition. The amount in the ECS Tuition column, less the amount in theFamily Contribution column, should equal the amount of Tuition Assistancerequested. Please note SJCC may not be able to grant the full amount requested,but this information is helpful as we review your application.

Rows	Child's Name	ECS Tuition (Annual)	Family Contribution	Tuition Assistance	Assistance %Total Tuition
1
2
3
TOTAL

III. APPLY FOR TUITION ASSISTANCE

If you are initially eligible to apply for tuition assistance per Section I above, complete the sections below. Fill in the sections as completely and accurately as possible. Applications will not be processed if information and/or documentation is missing or incomplete.

List Household Members

Rows	Full Name	Age (as of Jan 1 2025)	Relationship to Applicant
1
2
3
4
5
6
7
8

Total Household Members
Total Household Members must match the number provided in Section I: Determining Eligibility.

EMPLOYMENT

Provide current employer references for all applicants, including 2 most recent pay stubs).
- Employer
- Name of Applicant
- Job Title
- Length of Employment
- Supervisor Name
- Supervisor Phone
  Format: (000) 000-0000.
- File Upload: Last 2 Pay Stubs
  
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- Employer
- Name of Applicant
- Job Title
- Length of Employment
- Supervisor Name
- Supervisor Phone
  Format: (000) 000-0000.
- File Upload: Last 2 Pay Stubs
  
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- Employer
- Name of Applicant
- Job Title
- Length of Employment
- Supervisor Name
- Supervisor Phone
  Format: (000) 000-0000.
- File Upload: Last 2 Pay Stubs
  
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- Employer
- Name of Applicant
- Job Title
- Length of Employment
- Supervisor Name
- Supervisor Phone
  Format: (000) 000-0000.
- File Upload: Last 2 Pay Stubs
  
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HOUSEHOLD EXPENSES
1. HOUSING, TRANSPORTATION & MEDICAL

HOUSING

Rows	Last Month	Total for Year
Rent
Mortgage

UTILITIES

Rows	Last Month	Total for Year
Electricity
Gas
Water/Sewer
Garbage/Recycling
Telephone (Land Line)
Cellular Phone Service
Cable/Satellite TV
House/Rental Insurance

TRANSPORTATION

Rows	Last Month	Total for Year
Vehicle Loan/Lease payment
Vehicle Insurance
Vehicle Fuel/Maintenance
Public Transportation Fares(Bus, Ferry, Light Rail)
Rideshare/Private Transportation(Uber, Lyft, ZipCar, Taxi)

MEDICAL

Rows	Last Month	Total for Year
Medical/Health & Dental Insurance Premiums

TOTAL - Last Month
TOTAL - This Year
For major medical or dental treatment(s) which are out-of-pocket expenses not covered by insurance, please provide a general description below and attach documentation/receipts for amounts paid.
File Upload | Medical/Dental Out-of-Pocket Expenses

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2. SCHOOL & DEPENDENT CARE EXPENSES

Include ONLY pre-school, day care, special-needs schooling, and college expenses. Exclude other K-12 private school tuition.

Name of Child/Dependent
Name of School, Institution or Provider

Rows	Last Month	Total for Year
Tuition/Fees

Name of Child/Dependent
Name of School, Institution or Provider

Rows	Last Month	Total for Year
Tuition/Fees

Name of Child/Dependent
Name of School, Institution or Provider

Rows	Last Month	Total for Year
Tuition/Fees

Name of Child/Dependent
Name of School, Institution or Provider

Rows	Last Month	Total for Year
Tuition/Fees

TOTAL - Last Month
TOTAL - This Year
3. DEBT PAYMENTS

From mortgage and car loans identified in Housing and Transportation sections.

Monthly/Annual Payments by Creditor

Rows	Creditor	Last Month	Total for Year
1
2
3
4

TOTAL - Last Month
TOTAL - This Year
4. OTHER EXPENSES

Other Expenses

Rows	Who Paid To	Purpose	Last Month	Total for Year
1
2
3
4
5
6
7
8
9

TOTAL - Last Month
TOTAL - This Year

5. TOTAL HOUSEHOLD EXPENSES

Rows	Last Month	2026 Estimate
1. Housing, Transportation & Medical
2. School/Department Care
3. Debt Payments
4. Other Expenses

Rows	Last Month	2026 Estimate
TOTAL: Household Expenses (Above)
TOTAL: Household Income (Page 2)
TOTAL: Household Income less (-) Household Expenses

If either amount in the last row is negative, please explain below how, and why, your household’s income can be less than its expenses.
TOTAL HOUSEHOLD EXPENSES - Last Month
TOTAL HOUSEHOLD EXPENSES - Last Month

ASSET INFORMATION

As of the end of the month prior to completing this application; exclude Retirement Assets

Banking, investments and retirement accounts.

Rows	List the name of the financial institution and account type(s)	Value
1
2
3
4
5
6

Automobile(s) & Vehicles

Rows	List year, make and model of each vehicle. Use market value less its associated debt.	Value
1
2
3
4
5
6

Real Estate & Property

Rows	List address(es) of all real estate owned & indicate primary residence. Use assessed/appraised value less its associated debt.	Value
Primary Residence
2
3
4
5
6

Business & Ownership Interest

Rows	Include business name, formation type (e.g., LLC Inc., LP, GP, etc.), and ownership percentage.	Value
1
2
3
4

Please provide a copy of your 2025 or 2024 tax return, whichever is most recent.

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As a reminder, all the above sections must be completed, and requested documentation provided, to beconsidered for tuition assistance. Incomplete applications, or documentation, may result in your requestbeing denied, a delay in receiving a response, or a reduced approved amount.

Applications received by the first working day of the month will be reviewed by the 15th working day ofthat month and you will be notified by the 30th day of the month of the amount of your financial assistance, if approved. You have 15 days from notification to provide written acceptance of your financialaid to the SJCC Scholarship Manager. After 15 days, unaccepted financial aid applications will be cancelled.

ALL FINANCIAL INFORMATION IS KEPT STRICTLY CONFIDENTIAL

Limited funds are available for financial assistance. The SJCC prioritizes eligible requests according to the needs of each household and considers extenuating circumstances as well as income and expense.
CERTIFICATION

I/we attest the information provided herein is accurate to the best of my/our knowledge and is based on my/our current financial status. I/we understand SJCC reserves the right to re-evaluate any assistance granted during the period of a tuition assistance award. I/we will notify SJCC of any change in my/our financial status. I/we have included copies of all requested documents.
Applicant Name
Date

MonthDayYear
Date
Applicant Signature
Applicant Name
Date

MonthDayYear
Date
Applicant Signature
Should be Empty:

2025-26 TUITION ASSISTANCE APPLICATION

I. Determining Eligibility

II. COST OF TUITION AND FAMILY CONTRIBUTION

III. APPLY FOR TUITION ASSISTANCE

EMPLOYMENT

HOUSEHOLD EXPENSES

1. HOUSING, TRANSPORTATION & MEDICAL

2. SCHOOL & DEPENDENT CARE EXPENSES

3. DEBT PAYMENTS

4. OTHER EXPENSES

ASSET INFORMATION

CERTIFICATION