Religious School Scholarship Form

Har Shalom Center for Jewish Living strongly supports the value of educating every Jewish child in the area, regardless of financial ability. Although tuition is necessary to meet our expenses, it should not be an educational barrier. We understand that tuition fees may be difficult for some families to pay. We want to work with you to ensure that both of our financial needs are addressed. There is a scholarship fund to support Har Shalom members who need assistance.

All scholarship applications are due by September 29th. Recipients will be notified by October 6th regarding the decision of their application.

Please note:

The maximum scholarship available is 70% of ONLY the tuition amount for the year. Fees and pizza plan are not eligible for scholarship assistance.
Families are responsible for 30% of the tuition amount and must be enrolled in ACH auto-pay program to be approved.
Scholarships remain active for the entire school year and need to be reapplied for each fall.
Students must maintain 80% attendance to keep scholarship active. That means no more than 6 absences for Sunday students and 10 absences for Sunday/Wednesday students.

* Parent First Name

* Parent Last Name

Street address

Apt/Unit # (if applicable)

City

State

Zip

Parent phone number

Parent email

* Please provide a brief explanation of your family's financial situation, and any other circumstances that may be exceptional and necessitate the need for financial assistance.

* Please list all students for whom you are requesting a scholarship and their Religious School grade for the current school year.

EXAMPLE: Jane Smith, 5

Shared Responsibility Agreement

As a scholarship applicant, I understand that Har Shalom is willing to cover up to 70% of my child's tuition. I am personally responsible for paying the remaining 30% or whatever portion is not being covered by Har Shalom's Scholarship fund. The scholarship program only covers my child's tuition and I still am responsible for any fees associated with the program.

* Yes I understand that I am responsible for paying the part of the tuition not covered by Scholarship

Yes I understand that I am responsible for paying the part of the tuition not covered by Scholarship

* Student Attendance Agreement

Please Select OneYes I agreeNo I do not agree

As a scholarship applicant, I understand that my child needs to be in attendance at least 80% of the year. If my child is unable to attend for any prolonged period of time, I will communicate our situation with the Religious School Director immediately.

* Member in Good Standing Agreement

Please Select OneYes, I am a Member in Good StandingNo, my membership is not current. Please have someone contact me regarding my membership status.

As a scholarship applicant, I understand that my membership at Congregation Har Shalom must be current (membership dues paid in full) for the current fiscal year (July 1 - Jun 30).

Unfortunately, we can only offer scholarships to current Congregation Har Shalom members. If you need to speak with someone about your membership status, please contact the CHS Executive Director (contact information will be provided on your confirmation email).

Sun, May 11 2025 13 Iyyar 5785

Har Shalom Center for Jewish Living • 725 West Drake Road, Fort Collins, CO 80526 • 970-223-5191 · Home
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