Tuition Reduction Application

Tuition Reduction Application
Which schools should receive this application? Please select all that apply.*

Bais YaakovJEWELSMesivta Kesser TorahTalmudical AcademyYeshivas Kochav Yitzchok (TI)Yeshivas Toras Chaim (aka Mesivta Toras Chaim)Yeshivas Toras Simcha
Please click "SAVE" before proceeding to the next page.

Parent Information

All fields are required. If a question does not apply - please put N/A in the response.
Father's Name*

First NameLast Name
Father's Cell Phone Number*
Father's Email Address (will receive confirmation message)*
example@example.com - if no email "na@na.com" should work
Father's Occupation*
Father's Employer*
Mother's Name*

First NameLast Name
Mother's Cell Phone Number*
Mother's Email Address (will receive confirmation message)*
example@example.com - if no email "na@na.com" should work
Mother's Occupation*
Mother's Employer*
Household Information
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone*
Family Rav / Family Shul*
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Income

If an item is not applicable, enter 0.

Income: Last Calendar Year (2023):*

	Father	Mother
Total 2023 gross income:
Total family support
Total child support:
Total Parsonage:
Other Income (Government benefits, e.g., SNAP):

Total Income in 2023:
This field will populate automatically

Income: Expected this Calendar Year (2024):*

	Father	Mother
Total 2024 gross income (expected):
Total family support (expected):
Total child support (expected):
Total Parsonage (expected):
Other Income (Government benefits, e.g., SNAP) (expected):

Total Expected Income in 2024:
This field will populate automatically
Please attach your completed 2023 tax return with all applicable schedules and forms. If you have not yet filed, please attach the prior year’s tax return:*

Browse Files
Please upload as a .pdf file. If the file is password-protected, please provide the password on the final page of this form. Cancelof
If you filed a separate tax return for your business, please upload a copy of that return:

Browse Files
Please upload as a .pdf file. If the file is password-protected, please provide the password on the final page of this form. Cancelof
Please upload your 2023 W2s:

Browse Files
Please upload as a .pdf file. If file is password-protected, please provide the password on the final page of this form. Cancelof
Other files:

Browse Files
Please upload as a .pdf file. If file is password-protected, please provide the password on the final page of this form. Cancelof
Please click "SAVE" before proceeding to the next page.

Expenses

If an item is not applicable, enter 0 or N/A.

Monthly Expenses*

	$
Mortgage or Rent per month:
Monthly contributions to all retirement accounts:
Monthly money earmarked for savings (simchas, etc.):

Annual Expenses*

	$
Last year's out-of-pocket medical expenses (include premiums and expenses):
Annual cost to support married children and/or parents:
Project Special Education/Tutoring Expenses for the current year:
Total Maaser given last year:

Additional Expenses*

	$	If not self-paid, who paid?
Annual cost of vacations:
Annual cost of cleaning help:
Annual cost of overnight summer camp:

Cost of home renovations/additions over the last three years:*
If not applicable, type N/A
Description of renovations:*
If not applicable, type N/A

Open Pledges: Indicate Organization & Amount:

	Organization	Amount
Current year pledge - school
Current year pledge - school
Long-term pledge - school

How many vehicles do you have?*

1234

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Major Assets

If a question does not apply - please type 0 or N/A.

Current Value of Assets*

	Current Value
Checking Accounts:
Savings Accounts:
Cash:
Total Other Investments (Ex. Stocks/Bonds/Mutual Funds/CD's):
401K and all other retirement accounts:

Home: Purchase Year:
If not applicable, type N/A
Purchase Price:
If not applicable, type 0
Balance due on current home:
If not applicable, type 0
Do you own additional real estate?*

YesNo
Description of additional real estate:*
Balance of any mortgage:*
Value of additional real estate:*
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Debt

If an item does not apply - please type 0.

Total Debt Owed*

	$ Amount
Total Student Loan Debt:
Monthly Student Loan Payment:
Total owed on credit cards (do not include balances which are paid in full every month)
Total owed to Gmachs:
Total owed to family:
Total owed to others:

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Programs
For more information on these programs, please see: https://agudathisrael-md.org/tuition-programs/ (link opens in a new tab)
Have you applied for BOOST?*

YesNoNot Applicable
Amount received from BOOST, if known:
(BOOST typically notifies recipients in August)
Have you applied for the MD State Contribution Programs - MD 529?*

YesNoNot Applicable
Amount received from the 529 Match:*
If you live in Baltimore City, have you applied to the Children’s Scholarship Fund?*

YesNoNot Applicable
If you have not applied for these programs, please contact the Business/Tuition Office and someone will explain the application process, as these programs can provide significant help with tuition expenses.
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Special Considerations

If an item is not applicable, please write N/A
Please describe reasons for special consideration for reduced tuition: (include all extraordinary expenses, including business expenses). A letter (PDF file) may be attached to this form.*
Letter Upload:

Browse Files
Please upload a .pdf file. If you are unable to create a PDF, please type your letter in the box above or send an email to your school's tuition office. Cancelof
My/our signature(s) below affirm that the information provided on this form is complete and true. I/we agree that a reduction in tuition, if granted, is subject to reconsideration at any time upon a material change in circumstances involving my/our ability to pay and I/we pledge to report such changes of circumstances promptly. I/we grant permission to the tuition committee to contact my/our tax preparer.
Name of Tax Preparer*

First NameLast Name
Phone Number of Tax Preparer*
We understand that the Vaad HaRabbonim of Baltimore has stated publicly its support in making our community schools the first priority in tzedakah allocations, especially for individuals who receive tuition reductions. By completing and submitting this application, we agree to direct a substantial amount of our charitable contributions during the upcoming school year to Baltimore mosdos hachinuch providing K-12 education, with a majority of such contributions being donated to schools which have granted us tuition reductions.
Father's Signature*

Clear
Date*

MonthDayYear
Date
Mother's Signature*

Clear
Date*

MonthDayYear
Date
1. Please click "SAVE" to save all progress.
2. Next, click"PRINT FORM" to save a copy of your application.
3. Then, click "SUBMIT APPLICATION."
4. Please do not close this tab until you are redirected to the confirmation page.
Should be Empty:

Tuition Reduction Application

Parent Information

Household Information

Children's Information

Income

Expenses

Major Assets

Debt

Programs

Special Considerations