LPS/TCA Financial Aid Form 23/24

Financial Aid Form 2026/2027

Please select:

Personal Information

Family Last Name

Parent 1

Parent 2

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Home Phone Number

Area CodePhone Number

Parent 1 E-mail

example@example.com

Parent 1 Cell Phone

Area CodePhone Number

Parent 2 E-mail

example@example.com

Parent 2 Cell Phone

Area CodePhone Number

Congregation Affiliation

Names of children attending LPS/TCA/Camp Gan Israel

Child's Name

Grade Entering in Fall 2026

Child's Name

Grade Entering in Fall 2026

Child's Name

Grade Entering in Fall 2026

Child's Name

Grade Entering in Fall 2026

Child's Name

Grade Entering in Fall 2026

Please check off any additional programs you are signing up for, for the 2026/2027 year. * (While financial aid does not apply to the programs below, it is helpful to know what additional programming is necessary for your family.)

Parent 1 Occupation

Parent 1 Employer's Name

Parent 1 Work Phone Number

Parent 1 Employer's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parent 2 Occupation

Parent 2 Employer's Name

Parent 2 Work Phone Number

Parent 2 Employer's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

List children other than those listed above and the schools they are attending in 2026-2027:

Child's Name 1

School 1

Child's Name 2

School 2

Child's Name 3

School 3

* Scholarships are not available for our additional programs. However, it is important that we have a full understanding of the scope of your needs before we can determine your financial arrangement.

Financial Data

List all schools from which you received financial assistance (including Lubavitch on the Palisades). Please include your bill showing the amount of scholarship granted from each school.

School Name 1

Scholarship given 1

Amount of tuition paid 1

School Name 2

Scholarship given 2

Amount of tuition paid 2

School Name 3

Scholarship given 3

Amount of tuition paid 3

Parent 1 gross income 2025 $

Parent 2 gross income 2025 $

Parent 1 income anticipated 2026 $

Parent 2 income anticipated 2026 $

Total Assets including but not limited to real estate, stocks, savings accounts, etc. $

Are there any other benefits (childcare, savings plan, insurance, matching funds, etc.) provided through your employer? Please describe

Do you lease or own your vehicles?

Vehicle 1

Vehicle 1 Make & Model

Vehicle 1 Year

Vehicle 1 Monthly Cost

Vehicle 2

Vehicle 2 Make & Model

Vehicle 2 Year

Vehicle 2 Monthly Cost

Do you have full or part time domestic help?

Do you have childcare at home?

Childcare weekly cost

Which camp(s) did your child(ren) attend last summer?

Camp 1

Camp 1 Cost

Camp 2

Camp 2 Cost

Do you own your home?

Year purchased

Purchase price

Monthly mortgage or Rental payment

Real estate taxes per year

Do you have an outstanding balance in this year’s tuition?

Amount $

Dates amount will be paid

Scholarship amount requesting $

Loan amount requesting $

Total amount and payment schedule you feel you can afford for tuition

Are you willing to donate your services as a volunteer? Please describe the areas of your expertise

Is there any other pertinent information that would affect your ability to pay full tuition?

Please list two references that we may contact regarding your request:

Reference 1 Name

Reference 1 Relationship

Reference 1 Phone

Reference 2 Name

Reference 2 Relationship

Reference 2 Phone

We declare that the information in this application to the best of our knowledge
is accurate and true.

Parent's Name 1

Parent's Name 2

School Financial Aid Parent Checklist

PLEASE ENSURE THAT YOU HAVE INCLUDED ALL OF THE FOLLOWING PAPERWORK

WITH YOUR COMPLETED APPLICATION AND KEEP THIS PAGE ONLY FOR YOUR RECORDS

All of the items below must be included in order for your request to be considered

____ 1. Completed Financial Request Form (completed in its entirety)

____ 2. 2025 Federal Tax Return including all schedules and documentation.

____ 3. 2024 Federal Tax Return including all schedules and documentation.

____ 4. OPTIONAL: A personal statement explaining your personal circumstances

that are not reflected in your application form.

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