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Financial Aid Form

CONGREGATION BETH EL
CONFIDENTIAL REQUEST FOR
FINANCIAL CONSIDERATION
Fiscal Year 2021
July 1, 2020 – June 20, 2021

Dear Congregant,

Congregation Beth El's core values expressly state that we offer membership to all, regardless of financial situation and we are committed to allowing everyone the ability to join our congregational community. Thus, Congregation Beth El allows congregants experiencing financial hardships the ability to seek temporary relief from membership fees and religious school tuition obligations.

If you wish to be considered for reduction in your membership commitment and/or religious school tuition, please complete the enclosed application and return to Cathy Backal, our Financial Secretary.

The financial assistance process is highly confidential. All information included in this application and the required documentation will be kept completely confidential. Your application will be assigned a case number and your name and contact information will not be shared with the Financial Review Committee. The Financial Secretary will contact you once a decision is made regarding your assistance.

Financial assistance is based on each applicant's individual situation, dependent on the following criteria:

1. What is the extent of the need for relief?
2. Given all of the requests, how much relief is affordable within the operating budget of Congregation Beth El?

Please know that we are here to work with you and support you. Should you have any questions, do not hesitate to contact us at 856-675-1166 or [email protected] or [email protected].

Sincerely,
Josh Laster, Executive Director

Cathy Backal, Financial Secretary

FOR OFFICE USE ONLY: Confidential Case Number___________

MEMBER INFORMATION

DEPENDENT CHILDREN OR OTHER FAMILY MEMBERS:

I/we certify that the information submitted on this application is complete and accurate to the best of my/our ability.

I/we agree to inform the Financial Secretary of any significant change in my/our income or expenses during the fiscal year for which this application is made.

I/we understand that this application will not be acted upon if incomplete with respect to all questions and the required documentation requested.

I/we understand that this application is for Fiscal Year 2019 only and that a new application must be submitted for the following year.

I/we understand that Financial Consideration for Early Childhood tuition is handled separately through the Early Childhood Center.

By typing my name, I certify that I agree to the above statements.

By typing my name, I certify that I agree to the above statements.

FOR OFFICE USE ONLY: Confidential Case Number___________

FINANCIAL INFORMATION

FIXED EXPENSES (MONTHLY):

FOR OFFICE USE ONLY
  2019 - 20 2020 - 21 % change
Dues $ $  
Religious School $ $  
 

Account Details

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Payment Information

  

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