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About
The CCJDS Difference
Our Teachers
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Calendar of Events
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Academics
K-5th Grade
6th-8th Grade
STEM Programs
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After School
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Giving
Donate Now
Ways to Give
Annual Giving
Tribute Gifts
Annual Gala
Gala Videos
Be The Light Gala 2020
Legacy Giving
ORCA Capital Project
Volunteer
About
The CCJDS Difference
Our Teachers
Administration and Staff
Calendar of Events
Board of Trustees
Academics
K-5th Grade
6th-8th Grade
STEM Programs
Athletics
Jewish Studies
Community Service
Drama, Music and Art
Electives
Admissions
Welcome
Admissions Events
How to Apply
Tuition and Financial Aid
Student Life
Student Community
Jewish Community for Students and Families
After School
Our Campus
Lunch Program
Transportation
Giving
Donate Now
Ways to Give
Annual Giving
Tribute Gifts
Annual Gala
Gala Videos
Be The Light Gala 2020
Legacy Giving
ORCA Capital Project
Volunteer
Online Flexible Tuition Form
Parent/Guardian #1
*
First
Last
Address
*
Street Address
City
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District of Columbia
Florida
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Maryland
Massachusetts
Michigan
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Mississippi
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Montana
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New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Home Phone
Cell Phone
*
Email
*
Parent/Guardian #2
First
Last
Address
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Home Phone
Cell Phone
Email
List All Children: Name/Age/Gender
*
2020 Income and Expenses
Please answer the following questions fully to provide an accurate and complete picture of your present financial position. You will be asked to provide tax returns and other documentation as part of the review process. The fairness and success of our financial assistance program depends on your full and candid response to the following questions.
Salary: Parent/Guardian #1
*
Salary: Parent/Guardian #2
*
Interest & dividend income
*
Other income
*
Total monthly rent or mortgage
*
This is rent or mortgage paid on your residence only. Do not include payments on property held for rental purposes. Do not include real estate taxes or insurance.
Real estate taxes paid in 2020
*
Please provide real estate taxes paid on your residence only. Do not include taxes paid on property held for rental purposes.
State income taxes paid in 2020
*
Enter the amount from line 64 of your 2020 Form 540. If you haven't completed your return please use the amount from your 2020 W2 or the year to date amount from your year-end 2020 pay stub.
Federal income taxes paid in 2020
*
Enter the amount from line 24 of your 2020 Form 1040. If you haven't completed your return please use the amount from your 2020 W2 or the year to date amount from your year-end 2020 pay stub.
Total amount of other large expenses
*
Please provide details of other large expenses
*
Will your tuition be paid from any other source? If yes, please specify.
*
Assets & Liabilities
Approximate value of real estate owned and date purchased
*
Approximate amount of loans against real estate
*
Current principal balance
Total amount of savings accounts
*
Total value of stock & bond portfolios and other asset accounts
*
Please do not include retirement accounts
Total household debt
*
Please itemize. Examples: vehicle loans, personal loans, student loans, credit card debt
Please provide any other information that would help us evaluate your application for tuition assistance in the box below. Also, please let us know if you anticipate any significant changes in your financial position in the upcoming year.
Please submit your 2020 tax return to the CCJDS Business Office to be reviewed with your application. If your 2020 return is not completed, please provide your 2019 return and your 2020 W2 or 2020 year-end pay stub. Once you have completed your 2020 return, please provide a copy. Your financial assistance is subject to change based on this information. Please note in the box below when the documents will be sent.
*
Tax returns and other documents can be emailed to businessmanager@ccjds.org or mailed/dropped off at CCJDS Business Office 955 Risa Rd. Lafayette CA 94549
Electronic Signature
*
I accept
Please check the box in lieu of a written signature.
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