Scholarship Request Form The Chabad of Kirkland JKids Discovery program Scholarship Fund offers financial aid based on economic need. We offer partial scholarships and payment plans. Due to great demand and limited resources, it is important that you provide us with your complete financial picture for full consideration. Scholarships are awarded on a sliding scale and a first come first served basis.We try to accommodate everyone in our summer camp, because we believe that a Jewish camping experience is an important part of forging a strong Jewish identity. Therefore, we will try to work with everyone who requires assistance, to help come up with an amount that they are are able to pay for the camp experience.We will work with you personally and a mutually agreed upon fee will be arranged. This will occur in a strictly confidential manner, and we will make every effort to accommodate your request. Please be sure to fill in the entire form. Your Information Parent 1 Full Name* First Name Last Name Phone Number* Area Code Phone Number E-mail* Parent 2 Full Name* First Name Last Name Phone Number* Area Code Phone Number E-mail* Student information Student 1 Full Name* First Name Last Name Student 2Optional Full Name First Name Last Name Student 3Optional Full Name First Name Last Name Financial Information Total List Price* Please find pricing on the Rates page Amount you can Afford* Attended any Jewish after school program Last Year? YesNo Paid Tuition Amount Annual Household Income* Monthly Housing Expenses* Rent / Mortgage, Utilities Marital Status* MarriedDivorcedWidowedSingle Parent Separated Filing Tax-Return As:* Single Married Filing Jointly.Married Filing Separately.Head of Household.Qualifying Widow(er) with Dependent Child. Please explain special Financial Circumstances to Consider* All requests for assistance must be received by September 5th 2023 Please note, you must have turned in a completed registration form and deposit before you can be considered for a scholarship. When submitting a camp scholarship request form, please consider the cost of these programs. Submit Should be Empty: This page uses TLS encryption to keep your data secure.