JKHA/RKYHS  Yesodot Middle Income Tuition Max 2023-2024 Application 
This program is designed for families with Total Income between $150,000 and $275,000. If you don't qualify for this program, you may apply for financial aid instead. At the end of this form, please refer to the documentation submission requirements. 
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Parents' Names
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Children(s) Name and Rising Grade(s)
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2022 Total Income

Line 9 on the IRS 1040 must be between $150,000 and $275,000 to qualify (if less, apply for financial aid instead); enter a number with no decimals or commas. 
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Do you have income reported on Schedule C or E (business or self employment income)?

This is reported on Schedule 1 of the IRS 1040
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How much income do you receive from third parties (such as grandparents helping with tuition)?

Enter as a number with no decimals or commas
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Is your family net worth over 1 million dollars ( net worth includes home equity and retirement accounts)? *
Do both spouses work outside the home? *
If you answered "No - Other Reason", please share the reason below 
If you pay tuition at another Jewish Day School, please share the amount and identify the school. 
Include any Jewish Day School grades K-12; do not include preschool; enter number without decimals or commas
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I have emailed the first 2 pages of my 2022 tax return to jglasser@jkha.org *
Please provide the best email to contact you with questions about this application.   *
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