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Camp Mountain Chai
2025 Financial Aid Form
Estimated completion time: 15 minutes
Parent Name
Address
Email
Phone
Marital Status
Divorced
Married
Separated
Single
Widowed
Married
Relationship to Camper
I AM the camper's legal guardian
I am NOT the camper's legal guardian
I AM the camper's legal guardian
Employment Status
Disabled
Full Time
Part Time
Retired
Self-Employed
Stay-at-Home
Student
Unemployed
Full Time
Do you have a co-applicant?
i.e. Spouse, Parent, or Relative
Yes
No
Co-Applicant Name
Co-Applicant Relationship to Camper
Camper's legal guardian
NOT the Camper's legal guardian
Camper's legal guardian
Co-Applicant Employment Status
Disabled
Full Time
Part Time
Retired
Self-Employed
Stay-at-Home
Student
Unemployed
Disabled
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Camp Mountain Chai
2025 Financial Aid Form
How many campers are you seeking financial assistance for?
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CAMPER INFORMATION
At the bottom of this box, you will have the opportunity to add additional campers.
Camper Name
Please begin with your youngest camper
Camper Grade
Grade Entering Sept. 2025
Please select
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Please select
Religious Affiliation
Certain scholarship funds allocated by Camp Mountain Chai are limited to Jewish campers only. Answering "Other Non-Jewish" does not preclude a camper's eligibility.
Please select
Jewish
Other Non-Jewish
Please select
Enrolled Session(s)
Please select the session(s) that this camper will be attending.
Session 1
Session 2
Session 3
Rishonim A/B/C
Kavanah
SIT
This is the first time my child is attending any Jewish overnight camp for 12 or more days.
Yes
No
I have received scholarship funds from Camp Mountain Chai in the past:
Yes
No
How much of
this child's
tuition can you and/or the co-applicant pay?
This amount should
not include
any credits or rollovers from a previous season you may have.
Kavanah Applicants: CMC cannot scholarship the cost of plane tickets (~$1,500). The amount you indicate should not include tickets and should only consider the cost of tuition ($6,215)
USD
Tuition support expected from family and friends for
this child
:
(e.g. grandparents, non-custodial parents, or other relatives)
USD
Add additional camper
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Camp Mountain Chai
2025 Financial Aid Form
Household
Number of adults living in this household:
Applicant, Co-Applicant and/or any other elder dependent
Please select
1
2
3
4+
Please select
Number of children living in this household:
Please select
1
2
3
4
5
6+
Please select
Taxable Income
Does the applicant receive income reported on a W-2?
Yes
No
Does the co-applicant receive income reported on a W-2?
Yes
No
N/A
Does the applicant file a U.S. Federal Income Tax Return?
Yes
No
Applicant: Please upload your tax return from the most recent year and any other supporting documents you would like to share with CMC here :
Accepted file types: .pdf, .jpg
Delete all uploads
Choose files or drag here
Applicant’s adjusted gross income from the most recent tax return:
USD
Does the co-applicant file a U.S. Federal Income Tax Return?
Yes - files jointly
Yes - files separately
No
N/A
Co-applicant: Please upload your tax return from the most recent year here:
Accepted file types: .pdf, .jpg
Delete all uploads
Choose files or drag here
Co-applicant’s adjusted gross income from the most recent tax return:
USD
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Camp Mountain Chai
2025 Financial Aid Form
Nontaxable Income
If you collect any nontaxable income, please select it below.
Child Support
Workers' Compensation
Temporary Assistance for Needy Families (TANF)
Housing Allowance (Military, Religious, Parsonage, etc.)
Welfare
Tax-Exempt Interest
Supplemental Nutrition Assistance Program (SNAP
Other Nontaxable Income (e.g. Foster Care Allowance, VA Benefits, etc.)
Total Annual Nontaxable Income from above sources:
USD
Social Security
If household members collect nontaxable social security income, please select it below.
Applicant
Co-Applicant
Camper(s)
Other Household Members
Total Social Security Income
USD
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Camp Mountain Chai
2025 Financial Aid Form
Change of Income
Do you anticipate or have you had a change in your annual income since your most recent tax return?
Yes - Increase
Yes - Decrease
No
What is your anticipated 2025 income?
USD
What is the co-applicants anticipated 2025 income?
USD
Select the reason(s) for your reduced income:
Check all that apply
Unemployment or expected to be unemployed
Legal separation or divorce
Increase in family size
Reduced hours
Plan to retire
Loss of alimony or spousal support
Reduced wages
Medical reasons
Military reasons
Exiting the workforce
Death of a spouse
Other
Explain other:
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Camp Mountain Chai
2025 Financial Aid Form
Monthly Expenses
Do you rent or own your primary residence?
Please select
Rent
Own
Other
Please select
Monthly rent or mortgage payment (include principal, interest, taxes, and home insurance):
USD
Do you own a second home (not including rental property)?
e.g. vacation home or timeshare
Yes
No
What is the monthly mortgage payment on your second home (include principal, interest, taxes, and home insurance)?
USD
Vehicles
Add all vehicles leased or owned, including any vehicle that does not have a monthly payment. Please do not include insurance expense.
Year
####
Make & Model
e.g. Honda Civic
Monthly Payment
USD
Add additional vehicles
Credit Cards & Other Loans
Total Credit Card Debt
Please do not include balances that are paid in full at the end of each month.
USD
Total of all minimum amounts due on monthly credit card statements
Total the minimum amounts due from all credit card statements and enter that amount here.
USD
Monthly student loan payments for family members no longer attending college
USD
Do you have other monthly loan payments ?
Do not include cell phone, utilities, or other living expenses.
Yes
No
Other Loan Payments
Loan Creditor
Monthly Payment
USD
Add additional loans
Monthly health insurance premium(s)
USD
Monthly child support payments:
USD
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Camp Mountain Chai
2025 Financial Aid Form
Annual Expenses
Annual vehicle insurance expense
USD
Total annual out-of-pocket medical expenses not paid by insurance
USD
Charitable contributions
Cash or check per year
USD
College Expenses
Number of family members attending college 2024-2025
Please select
1
2
3
4+
Please select
Total amount of your family's out-of-pocket cost for college expected this school year
USD
Child Care Expenses
Number of children for whom you pay child/day care expenses beginning this fall
Please select
1
2
3
4+
Please select
Total amount of child/day care expenses expected this year
USD
Elder Care Expenses
Number of people for whom you pay elder care expenses
Please select
1
2
3
4+
Please select
Total amount of elder care expenses expected this year
USD
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Camp Mountain Chai
2025 Financial Aid Form
Assets and Liabilities
Value of cash, savings, and/or checking accounts
Enter the total balance(s) from your cash, savings, and/or checking most recent statement(s)
USD
Value of stocks, bond investments, mutual funds, and/or certificates of deposit
List the value of these holdings from your most recent brokerage account(s) statement(s)
USD
Value of your 529 plan accounts
USD
What is your expected contribution in 2025 to 529 plan accounts?
USD
Value of retirement plan assets
If you have retirement plan assets, 401(k), 403(b), or IRA, please list the total value of these holdings from your most recent statement
USD
What is your and/or your spouse's annual contribution to retirement plan assets?
USD
What is the estimated value of your home?
Provide the best estimate to the value of your home
USD
What is the amount you owe for your home?
Based on your most recent mortgage statement
USD
What is the estimated value of your secondary home?
Provide the best estimate to the value of your home
USD
What is the amount you owe for your secondary home?
Based on your most recent mortgage statement
USD
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Camp Mountain Chai
2025 Financial Aid Form
I have applied or am planning to apply for additional financial assistance from the following organizations for this summer:
Synagogue
One Happy Camper
Jewish Family Service (JFS)
Other
Jewish Federation (Outside San Diego County Only - San Diego residents need not apply to Federation as Camp Mountain Chai allocates on their behalf.)
Please provide the name(s) of the outside organization(s) and the amount(s) requested.
Please use the allotted space below to provide us with any additional information that you feel the Scholarship Committee should be aware of when determining your award.
Terms of Service
I agree to the
terms of service
.
Signature
Clear
Verification
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