TBA Financial Aid Application 2025
Fiscal Year 2025 (July 1, 2024 - June 30, 2025)
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
What Year did you join TBA?
*
e.g., 2012 (if unsure provide a best guess)
How many years have you received financial aid?
*
Enter 0 if this is your first time applying
Number of Dependent Children
*
Ages of Dependent Children
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Enter Age for Twins
Are your children enrolled in Gan Ami (pre-school)?
*
Yes
No
Are your children enrolled in TBA Summer Programs (Kayitz or Gan Ami Summer)?
*
Yes
No
Please provide an explanation about why you have a financial aid need. Please include any extenuating circumstances, or other reasons to ensure that we make an informed and equitable decision.
*
Please exclude names and other identifying information so applications can be reviewed anonymously by the committee.
Please check all applicable sources of income
*
Salary
Commissions
Bonus
Pension
Social Security
Annuity
Alimony/Child Support
Distributions from Individual Retirement Accounts
Other
Annual Household Income
*
Please use the amount you earn AFTER/EXCLUDING TAXES. Include income from all of the above sources, as applicable.
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Expenses
Please fill out your annualized expense information
Mortgage/Rent
*
Please enter the amount you spend on mortgage or rent annually.
Home Expenses
*
Please provide annual costs for HOA, Property Taxes, home or renters insurance, and home maintenance (Lawn service, repairs, cleaning service, trash removal, etc.)
Car Expenses
*
Please enter annual amount spent on car loan or lease payments, insurance, maintenance, and gas.
Utility Expenses
*
Please enter annual amount spent on phone (Home and Cell), Internet, TV, Electric, Gas, and Water.
Childcare Expenses
*
Please enter annual amount spent on child care including before and after school care, sports and activities, and camp expenses.
Tuition Expenses
*
Please enter annual amount spent on preschool, private school and/or college
Medical Expenses
*
Please enter annual amount spent on deductibles, out-of-pocket costs, speech therapy, occupational therapy, medications, etc.
Food Expenses
*
Please enter annual amount spent on groceries and restaurants.
Insurance Expenses
*
Please enter annual amount spent on insurance purchased outside of work (life insurance, long term disability, etc) (Do not include home/renters insurance, which should be included in the Home Expenses category above).
Additional Loan Payments
*
Please enter annual amount spent additional loan payments (Student loans, HELOC's, credit card debt, etc).
Pet Expenses
*
Please enter annual amount spent on pets (food, medical, pet insurance, etc).
Clothing Expenses
*
Please enter annual amount spent on clothing.
Vacation and Entertainment Expenses
*
Please enter annual amount spent on vacations and entertainment (Concerts, Movies, etc.)
Additional Expenses
*
Please enter the amount of any additional expenses (B'Nei Mitzvah, Wedding, care of aging parents, etc). Enter 0 if there are none.
Additional Expenses Explanation
*
Please explain what the number in the above field is for (B'nei Mitzvah, wedding, care for aging parents, etc)
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Membership Information
Membership Category
*
Please Select
Dual Adult Household - Age 30+
Single Adult Household - Age 30+
Dual Adult Household 26-29
Single Adult Household 26-29
Have you fulfilled your commitment to TBA's Building Fund?
*
Yes
No
Please select the appropriate Machane TBA grade for your child #1.
*
Grade PreK - 2
Grade 3 - 6
Grade 7
Grade 8 - 12
N/A
Please select the appropriate Machane TBA grade for your child #2.
*
Grade PreK - 2
Grade 3 - 6
Grade 7
Grade 8 - 12
N/A
Please select the appropriate Machane TBA grade for your child #3.
*
Grade PreK - 2
Grade 3 - 6
Grade 7
Grade 8 - 12
N/A
Please select the appropriate Machane TBA grade for your child #4.
*
Grade PreK - 2
Grade 3 - 6
Grade 7
Grade 8 - 12
N/A
Do you have a child who will have a Bar/Bat Mitzvah during this fiscal year? (The fiscal year runs from July 1st through June 30th.)
*
Yes
No
Do you have a child who will be part of the TBA High Confirmation class during this fiscal year?
*
Yes
No
Do you have a child who will be part of the TBA High graduation class during this fiscal year?
*
Yes
No
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Financial need Statement
Total Annual Expenses
Total Annual Income
Total Annual Dues and Machane Tuition (if applicable)
Amount you propose to contribute annually
*
Please Sign Below
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Submit
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