Clone of DTA &Torah Tots School Scholarship Forms

SCHOOL SCHOLARSHIP APPLICATION

2026-2027 School Year
BSD"

IMPORTANT INFORMATION

SCHOOL SCHOLARSHIP, FUNDS ARE LIMITED. IN ORDER FOR THE SCHOLARSHIP COMMITTEE TO MAKE AN INFORMED AND JUST DECISION, YOU ARE REQUIRED COMPLETE AND SUBMIT THIS FORM.

YOU WILL HAVE TO UPLOAD THE FIRST 2 PAGES OF YOUR MOST CURRENT TAX RETURN (IF YOU HAVE NOT FILED YOUR TAXES FOR 2025 UPLOAD 2024). IF YOU HAVE NOT FILED YOUR 2024 RETURN, PLEASE UPLOAD YOUR W-2'S, 1099 OR YOUR MOST RECENT PAYCHECK STUBS. YOU WILL NOT BE ABLE TO SUBMIT THIS FORM UNLESS THE REQUIRED DOCUMENTS ARE UPLOADED. IF YOU HAVE ANY QUESTIONS CONTACT THE SCHOOL REGISTRAR AT (702)259-1000 X2002.

לידיעתך

מלגת בית ספר, הכספים מוגבלים. על מנת שוועדת המלגות תקבל החלטה מושכלת וצודקת, עליך למלא ולהגיש טופס זה

תצטרך להעלות את 2 העמודים הראשונים של החזר המס העדכני ביותר שלך (אם לא הגשת את המיסים שלך עבור 2025 יש להעלות מיסים לשנת 2025). אם לא הגשת את ההחזר שלך לשנת 2025, אנא העלה את טופס W2 1099

או את תלושי תלושי המשכורת האחרונים שלך. לא תוכל להגיש טופס זה אלא אם כן יועלו המסמכים הנדרשים. אם יש לך שאלות כלשהן פנה לרשם בית הספר בטלפון

702-2591000 לבקש את גבריאל
Name Parent (Father)/Legal Guardian*

First Name/Last Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone
Please enter a valid phone number.
Home Phone
Please enter a valid phone number.
Email address
example@example.com
Father' Employer
Position
Employer's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
If unemployed Date unemployed

MonthDayYear
Date
Work Phone Number
Please enter a valid phone number.
Name Parent (Mother) /Legal Guardian

First NameLast Name
Home Address (If different than Father's)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone
Please enter a valid phone number.
Cell Phone
Please enter a valid phone number.
Email address
example@example.com
Mother's Employer Name
Position
If unemployed Date unemployed

MonthDayYear
Date
Employer's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Work Phone Number
Please enter a valid phone number.
If Self Employed Name of Business
Business Phone Number
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Total Household Size
Total Number of Children at Home
Monthly Income Include all Sources of Income
Other Income (Family Support- Rental Income-Investment Income*
Total Household Income

Your Monthly Expenses

	Monthly Amount
Monthly Rent/ Mortgage payment
Association Dues
Home Insurance
Car Insurance
Medical Insurance
Life Insurance
Utilities (Electric-Gas-Water)
Miscellaneous Expenses
Food/ Household
Camp Tuition (Other than Camp Gan Israel)
School Tuition (Paid to another school NOT DTA)
Child Support/Alimony
Car Loan
Telephone
TOTAL

If your expenses are greater than your income how do you make up the difference
Please provide a short explanation

School & Children Information

	Name	Grade as 08/26	Age as of 08/26	Gender	Full Tuition Cost Per Year
Child 1
Child 2
Chilid 3
Child 4
Child 5

Please provide any other information which may help us decide your School Scholarship
Father's or Legal Guardian
NAME
Mother or Legal Guardian
NAME
Signature*

Clear
Signature*

Clear
Date

MonthDayYear
Date
Please upload the first 2 pages of your latest Tax Return (if you haven't filed 2025 upload 2024)*

Cancelof
If you have not filed 2025 tax returns you may upload your W-2's

Cancelof
If you are self-employed and have not filed 2025 tax returns upload any 1099 forms

Cancelof
Should be Empty:

SCHOOL SCHOLARSHIP APPLICATION

BSD"

IMPORTANT INFORMATION