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			<h1 class="article-header__title js-article-title js-page-title">Yeshiva Scholarship Application Form</h1>
		
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window.formJson = Object.extend([{"form_height":497,"1_text":"\u003cp\u003eTo apply for a scholarship please complete the form below. To ensure the scholarship application is complete, please attach all supporting documentation listed in the form or email them to accounting@yeshivaofscottdale.com.\u003c/p\u003e\n\n\u003cp\u003eWe look forward to working with you and your family to provide the best possible education for your son. We will do our best to help accomplish this in a way that is affordable for you.\u003cbr\u003e\n\u003cbr\u003e\nTo be considered for a scholarship, the following conditions must be met:\u003c/p\u003e\n\n\u003col\u003e\n\t\u003cli\u003eApplications and all related information must be submitted prior to July 10, 2026\u003c/li\u003e\n\t\u003cli\u003eParent must be fully up-to-date with all past tuition payments by August 2, 2026\u003c/li\u003e\n\t\u003cli\u003eAll tuition payments for the coming year must be made on time. 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<form class="userform-form" action="" method="post" enctype="multipart/form-data" name="form_6965188" id="6965188" accept-charset="utf-8"><input type="hidden" name="formID" value="6965188" /><div class="form-all dir_ltr" dir="ltr"><ul class="form-section"><li class="form-line" id="id_1"><div id="cid_1" class="form-input-wide"> <div id="text_1" class="form-html"><p>To apply for a scholarship please complete the form below. To ensure the scholarship application is complete, please attach all supporting documentation listed in the form or email them to accounting@yeshivaofscottdale.com.</p>

<p>We look forward to working with you and your family to provide the best possible education for your son. We will do our best to help accomplish this in a way that is affordable for you.<br />
<br />
To be considered for a scholarship, the following conditions must be met:</p>

<ol>
	<li>Applications and all related information must be submitted prior to July 10, 2026</li>
	<li>Parent must be fully up-to-date with all past tuition payments by August 2, 2026</li>
	<li>All tuition payments for the coming year must be made on time. Missed payments may result in a loss of scholarship and disqualification from receiving future financial aid from the Yeshiva of Scottsdale.</li>
</ol>
</div> </div></li><li id="cid_6" class="form-input-wide"> <div class="form-header-group"><h2 id="header_6" class="form-header">Scholarship Application</h2></div> </li><li class="form-line" id="id_3"><div class="form-label-top" id="label_3"><label for="input_3"> Student's Legal Full Name<span class="form-required">*</span> </label><label class="label-message" for="input_3"> </label></div><div id="cid_3" class="form-input-wide"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q3_fullName[first]" id="first_3" autocomplete="given-name" />  <label class="form-sub-label" for="first_3" id="sublabel_first">First &amp; Middle Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q3_fullName[last]" id="last_3" autocomplete="family-name" />  <label class="form-sub-label" for="last_3" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_7"><div class="form-label-top" id="label_7"><label for="input_7"> Shiur Student is entering in 5786/2025-26<span class="form-required">*</span> </label><label class="label-message" for="input_7"> </label></div><div id="cid_7" class="form-input-wide"> <select class="form-dropdown validate[required]" style="width:150px" id="input_7" name="q7_input7"><option value=""></option><option value="Shiur Aleph">Shiur Aleph</option><option value="Shiur Beis">Shiur Beis</option><option value="Shiur Gimmel">Shiur Gimmel</option></select> </div></li><li class="form-line" id="id_9"><div class="form-label-top" id="label_9"><label for="input_9"> 2024 IRS Tax Return, including all schedules and W2 forms<span class="form-required">*</span> </label></div><div id="cid_9" class="form-input-wide"> <magen-file-drop-zone label="" name="q9_input9" id="input_9" class="form-upload" buttontext="Upload a File" required="required" additionaltext="Accepts .gif, .jpg, .jpeg, .png and .pdf" accept=".jpeg,.jpg,.gif,.png,.pdf" maxsize="20971520"> </magen-file-drop-zone> </div></li><li class="form-line" id="id_8"><div class="form-label-top" id="label_8"><label for="input_8"> 2025 IRS Tax Return, including all schedules and W2 forms<span class="form-required">*</span> </label></div><div id="cid_8" class="form-input-wide"> <magen-file-drop-zone label="" name="q8_input8" id="input_8" class="form-upload" buttontext="Upload a File" required="required" additionaltext="Accepts .gif, .jpg, .jpeg, .png and .pdf" accept=".jpeg,.jpg,.gif,.png,.pdf" maxsize="20971520"> </magen-file-drop-zone> </div></li><li class="form-line" id="id_10"><div class="form-label-top" id="label_10"><label for="input_10"> Most recent W2 (or 1099) for Primary earning parent<span class="form-required">*</span> </label></div><div id="cid_10" class="form-input-wide"> <magen-file-drop-zone label="" name="q10_input10" id="input_10" class="form-upload" buttontext="Upload a File" required="required" additionaltext="Accepts .gif, .jpg, .jpeg, .png and .pdf" accept=".jpeg,.jpg,.gif,.png,.pdf" maxsize="20971520"> </magen-file-drop-zone> </div></li><li class="form-line" id="id_11"><div class="form-label-top" id="label_11"><label for="input_11"> Most recent W2 (or 1099) for Other parent (if applicable) </label></div><div id="cid_11" class="form-input-wide"> <magen-file-drop-zone label="" name="q11_input11" id="input_11" class="form-upload" buttontext="Upload a File" additionaltext="Accepts .gif, .jpg, .jpeg, .png and .pdf" accept=".jpeg,.jpg,.gif,.png,.pdf" maxsize="20971520"> </magen-file-drop-zone> </div></li><li class="form-line" id="id_47"><div class="form-label-top" id="label_47"><label for="input_47"> How much did you pay in tuition for all your children last school year?<span class="form-required">*</span> </label><label class="label-message" for="input_47"> </label></div><div id="cid_47" class="form-input-wide"> <input type="number" class="form-number-input  form-textbox validate[required]" id="input_47" name="q47_number47" style="width:140px" size="15" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" /> </div></li><li class="form-line" id="id_48"><div class="form-label-top" id="label_48"><label for="input_48"> Evidence of total tuition paid for each/all your children from last year:<span class="form-required">*</span> </label></div><div id="cid_48" class="form-input-wide"> <magen-file-drop-zone label="" name="q48_input48" id="input_48" class="form-upload" buttontext="Upload a File" required="required" additionaltext="Accepts .gif, .jpg, .jpeg, .png and .pdf" accept=".jpeg,.jpg,.gif,.png,.pdf" maxsize="20971520"> </magen-file-drop-zone> </div></li><li class="form-line" id="id_13"><div id="cid_13" class="form-input-wide"> <div id="text_13" class="form-html"><p><strong>For the upcoming year full tuition is $46,495 plus Mikvah &amp; Laundry Fees ($395 each), Trip Fee ($550), and the Summer Program ($3,000).<br />
<br />
The Yeshiva has secured private donations to be able to grant Financial Aid of $21,950 towards students in need, bringing<em> <u>the annual out-of-pocket total down to $29,290</u></em>.<br />
<br />
Below, let us know how much <em>additional</em> scholarship money your are seeking by entering the amount you are able to commit to paying out-of-pocket for the entire year (lower than $29,290). </strong></p>
</div> </div></li><li class="form-line" id="id_12"><div class="form-label-top" id="label_12"><label for="input_12"> TOTAL ANNUAL AMOUNT I/we are committed to paying for tuition<span class="form-required">*</span> </label><label class="label-message" for="input_12"> </label></div><div id="cid_12" class="form-input-wide"> <input type="number" class="form-number-input  form-textbox validate[required]" id="input_12" name="q12_number" style="width:140px" size="15" value="" data-type="input-number" autocomplete="nope" min="15000" data-numbermin="15000" /> </div></li><li class="form-line" id="id_44"><div class="form-label-top" id="label_44"><label for="input_44"> MAXIMUM MONTHLY AMOUNT I/we are able to pay at this time for tuition<span class="form-required">*</span> </label><label class="label-message" for="input_44"> </label></div><div id="cid_44" class="form-input-wide"> <input type="number" class="form-number-input  form-textbox validate[required]" id="input_44" name="q44_number44" style="width:140px" size="15" value="" data-type="input-number" autocomplete="nope" min="1500" data-numbermin="1500" /> </div></li><li id="cid_5" class="form-input-wide"> <div class="form-header-group"><h2 id="header_5" class="form-header">Father's Information</h2></div> </li><li class="form-line" id="id_4"><div class="form-label-top" id="label_4"><label for="input_4"> Father's Legal Full Name<span class="form-required">*</span> </label><label class="label-message" for="input_4"> </label></div><div id="cid_4" class="form-input-wide"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q4_fullName4[first]" id="first_4" autocomplete="given-name" />  <label class="form-sub-label" for="first_4" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q4_fullName4[last]" id="last_4" autocomplete="family-name" />  <label class="form-sub-label" for="last_4" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_33"><div class="form-label-top" id="label_33"><label for="input_33"> Father's E-mail<span class="form-required">*</span> </label><label class="label-message" for="input_33"> </label></div><div id="cid_33" class="form-input-wide"> <input type="email" class=" form-textbox validate[required, Email]" id="input_33" name="q33_email33" size="30" value="" autocomplete="email" /> </div></li><li class="form-line" id="id_34"><div class="form-label-top" id="label_34"><label for="input_34"> Father's Cell Phone Number<span class="form-required">*</span> </label><label class="label-message" for="input_34"> </label></div><div id="cid_34" class="form-input-wide"> <div class="dir_ltr"><span class="form-sub-label-container"><input data-type="mask-number" class="mask-phone-number form-textbox validate[required]" type="tel" name="q34_phoneNumber34[full]" id="input_34_full" autocomplete="tel" />  <label class="form-sub-label" for="input_34_full"><span> </span></label></span></div> </div></li><li class="form-line" id="id_14"><div class="form-label-top" id="label_14"><label for="input_14"> Father's Salary<span class="form-required">*</span> </label><label class="label-message" for="input_14"> </label></div><div id="cid_14" class="form-input-wide"> <input type="number" class="form-number-input  form-textbox validate[required]" id="input_14" name="q14_number14" style="width:140px" size="15" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" /> </div></li><li class="form-line" id="id_15"><div class="form-label-top" id="label_15"><label for="input_15"> Father's Salary is paid:<span class="form-required">*</span> </label><label class="label-message" for="input_15"> </label></div><div id="cid_15" class="form-input-wide"> <div class="form-multiple-column"><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_15_0" name="q15_input15" value="Bi-Weekly" /><label id="label_input_15_0" for="input_15_0"><span>Bi-Weekly</span></label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_15_1" name="q15_input15" value="Monthly" /><label id="label_input_15_1" for="input_15_1"><span>Monthly</span></label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_15_2" name="q15_input15" value="Yearly" /><label id="label_input_15_2" for="input_15_2"><span>Yearly</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio-other form-radio validate[required, other]" name="q15_input15" id="other_15" value="" /><span><input type="text" class="form-radio-other-input form-textbox form-radio validate[required, other]" name="q15_input15[other]" data-otherhint="Other" size="15" id="input_15" disabled="disabled" /></span><br /></span></div> </div></li><li class="form-line" id="id_16"><div class="form-label-top" id="label_16"><label for="input_16"> Father - Length of time employed at current business<span class="form-required">*</span> </label><label class="label-message" for="input_16"> </label></div><div id="cid_16" class="form-input-wide"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_16" name="q16_input16" size="20" value="" /> </div></li><li class="form-line" id="id_17"><div class="form-label-top" id="label_17"><label for="input_17"> Type of Business<span class="form-required">*</span> </label><label class="label-message" for="input_17"> </label></div><div id="cid_17" class="form-input-wide"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_17" name="q17_input17" size="20" value="" /> </div></li><li class="form-line" id="id_18"><div class="form-label-top" id="label_18"><label for="input_18"> List any other sources of Household Income<span class="form-required">*</span> </label><label class="label-message" for="input_18"> </label></div><div id="cid_18" class="form-input-wide"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_18" name="q18_input18" size="50" value="" /> </div></li><li class="form-line" id="id_19"><div class="form-label-top" id="label_19"><label for="input_19"> Father - Gross annual income from all sources, before deductions for social security, income tax, retirement fund, etc...<span class="form-required">*</span> </label><label class="label-message" for="input_19"> </label></div><div id="cid_19" class="form-input-wide"> <input type="number" class="form-number-input  form-textbox validate[required]" id="input_19" name="q19_number19" style="width:140px" size="15" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" /> </div></li><li class="form-line" id="id_20"><div class="form-label-top" id="label_20"><label for="input_20"> Father - Self-Employed<span class="form-required">*</span> </label><label class="label-message" for="input_20"> </label></div><div id="cid_20" class="form-input-wide"> <div class="form-multiple-column"><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_20_0" name="q20_input20" value="Yes" /><label id="label_input_20_0" for="input_20_0"><span>Yes</span></label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_20_1" name="q20_input20" value="No" /><label id="label_input_20_1" for="input_20_1"><span>No</span></label></span><span class="clearfix"></span></div> </div></li><li id="cid_21" class="form-input-wide"> <div class="form-header-group"><h2 id="header_21" class="form-header">Mother's Information</h2></div> </li><li class="form-line" id="id_22"><div class="form-label-top" id="label_22"><label for="input_22"> Mother's Legal Full Name<span class="form-required">*</span> </label><label class="label-message" for="input_22"> </label></div><div id="cid_22" class="form-input-wide"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q22_fullName22[first]" id="first_22" autocomplete="given-name" />  <label class="form-sub-label" for="first_22" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q22_fullName22[last]" id="last_22" autocomplete="family-name" />  <label class="form-sub-label" for="last_22" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_30"><div class="form-label-top" id="label_30"><label for="input_30"> Mother's E-mail<span class="form-required">*</span> </label><label class="label-message" for="input_30"> </label></div><div id="cid_30" class="form-input-wide"> <input type="email" class=" form-textbox validate[required, Email]" id="input_30" name="q30_email" size="30" value="" autocomplete="email" /> </div></li><li class="form-line" id="id_32"><div class="form-label-top" id="label_32"><label for="input_32"> Mother's Cell Phone Number<span class="form-required">*</span> </label><label class="label-message" for="input_32"> </label></div><div id="cid_32" class="form-input-wide"> <div class="dir_ltr"><span class="form-sub-label-container"><input data-type="mask-number" class="mask-phone-number form-textbox validate[required]" type="tel" name="q32_phoneNumber[full]" id="input_32_full" autocomplete="tel" />  <label class="form-sub-label" for="input_32_full"><span> </span></label></span></div> </div></li><li class="form-line" id="id_23"><div class="form-label-top" id="label_23"><label for="input_23"> Mother's Salary<span class="form-required">*</span> </label><label class="label-message" for="input_23"> </label></div><div id="cid_23" class="form-input-wide"> <input type="number" class="form-number-input  form-textbox validate[required]" id="input_23" name="q23_number23" style="width:140px" size="15" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" /> </div></li><li class="form-line" id="id_24"><div class="form-label-top" id="label_24"><label for="input_24"> Mother's Salary is paid:<span class="form-required">*</span> </label><label class="label-message" for="input_24"> </label></div><div id="cid_24" class="form-input-wide"> <div class="form-multiple-column"><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_24_0" name="q24_input24" value="Bi-Weekly" /><label id="label_input_24_0" for="input_24_0"><span>Bi-Weekly</span></label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_24_1" name="q24_input24" value="Monthly" /><label id="label_input_24_1" for="input_24_1"><span>Monthly</span></label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_24_2" name="q24_input24" value="Yearly" /><label id="label_input_24_2" for="input_24_2"><span>Yearly</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio-other form-radio validate[required, other]" name="q24_input24" id="other_24" value="" /><span><input type="text" class="form-radio-other-input form-textbox form-radio validate[required, other]" name="q24_input24[other]" data-otherhint="Other" size="15" id="input_24" disabled="disabled" /></span><br /></span></div> </div></li><li class="form-line" id="id_25"><div class="form-label-top" id="label_25"><label for="input_25"> Mother - Length of time employed at current business<span class="form-required">*</span> </label><label class="label-message" for="input_25"> </label></div><div id="cid_25" class="form-input-wide"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_25" name="q25_input25" size="20" value="" /> </div></li><li class="form-line" id="id_26"><div class="form-label-top" id="label_26"><label for="input_26"> Type of Business<span class="form-required">*</span> </label><label class="label-message" for="input_26"> </label></div><div id="cid_26" class="form-input-wide"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_26" name="q26_input26" size="20" value="" /> </div></li><li class="form-line" id="id_27"><div class="form-label-top" id="label_27"><label for="input_27"> List any other sources of Household Income<span class="form-required">*</span> </label><label class="label-message" for="input_27"> </label></div><div id="cid_27" class="form-input-wide"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_27" name="q27_input27" size="50" value="" /> </div></li><li class="form-line" id="id_28"><div class="form-label-top" id="label_28"><label for="input_28"> Mother - Gross annual income from all sources, before deductions for social security, income tax, retirement fund, etc...<span class="form-required">*</span> </label><label class="label-message" for="input_28"> </label></div><div id="cid_28" class="form-input-wide"> <input type="number" class="form-number-input  form-textbox validate[required]" id="input_28" name="q28_number28" style="width:140px" size="15" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" /> </div></li><li class="form-line" id="id_29"><div class="form-label-top" id="label_29"><label for="input_29"> Mother - Self-Employed<span class="form-required">*</span> </label><label class="label-message" for="input_29"> </label></div><div id="cid_29" class="form-input-wide"> <div class="form-multiple-column"><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_29_0" name="q29_input29" value="Yes" /><label id="label_input_29_0" for="input_29_0"><span>Yes</span></label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_29_1" name="q29_input29" value="No" /><label id="label_input_29_1" for="input_29_1"><span>No</span></label></span><span class="clearfix"></span></div> </div></li><li id="cid_35" class="form-input-wide"> <div class="form-header-group"><h2 id="header_35" class="form-header">Other Assets &amp; Expenses</h2></div> </li><li class="form-line" id="id_36"><div class="form-label-top" id="label_36"><label for="input_36"> Do you own your home?<span class="form-required">*</span> </label><label class="label-message" for="input_36"> </label></div><div id="cid_36" class="form-input-wide"> <div class="form-multiple-column"><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_36_0" name="q36_input36" value="Yes" /><label id="label_input_36_0" for="input_36_0"><span>Yes</span></label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_36_1" name="q36_input36" value="No" /><label id="label_input_36_1" for="input_36_1"><span>No</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_37"><div class="form-label-top" id="label_37"><label for="input_37"> Monthly Payment/Rent Amount<span class="form-required">*</span> </label><label class="label-message" for="input_37"> </label></div><div id="cid_37" class="form-input-wide"> <input type="number" class="form-number-input  form-textbox validate[required]" id="input_37" name="q37_number37" style="width:140px" size="15" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" /> </div></li><li class="form-line" id="id_41"><div class="form-label-top" id="label_41"><label for="input_41"> Total amount of all cash and securities accounts, including retirement funds and 401k's. <span class="form-required">*</span> </label><label class="label-message" for="input_41"> </label></div><div id="cid_41" class="form-input-wide"> <input type="number" class="form-number-input  form-textbox validate[required]" id="input_41" name="q41_number41" style="width:140px" size="15" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" /> </div></li><li class="form-line" id="id_42"><div class="form-label-top" id="label_42"><label for="input_42"> Total monthly payment of all debts or loans you have for which monthly payments are made?<span class="form-required">*</span> </label><label class="label-message" for="input_42"> </label></div><div id="cid_42" class="form-input-wide"> <input type="number" class="form-number-input  form-textbox validate[required]" id="input_42" name="q42_number42" style="width:140px" size="15" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" /> </div></li><li class="form-line" id="id_38"><div class="form-label-top" id="label_38"><label for="input_38"> List Addresses of any real-estate holdings </label><label class="label-message" for="input_38"> </label></div><div id="cid_38" class="form-input-wide"> <textarea id="input_38" class="form-textarea" name="q38_input38" cols="40" rows="6"></textarea> </div></li><li class="form-line" id="id_39"><div class="form-label-top" id="label_39"><label for="input_39"> List all financial institutions in which you maintain accounts<span class="form-required">*</span> </label><label class="label-message" for="input_39"> </label></div><div id="cid_39" class="form-input-wide"> <textarea id="input_39" class="form-textarea validate[required]" name="q39_input39" cols="40" rows="6"></textarea> </div></li><li class="form-line" id="id_40"><div class="form-label-top" id="label_40"><label for="input_40"> Number of Dependent Children in Family<span class="form-required">*</span> </label><label class="label-message" for="input_40"> </label></div><div id="cid_40" class="form-input-wide"> <input type="number" class="form-number-input  form-textbox validate[required]" id="input_40" name="q40_number40" style="width:140px" size="15" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" /> </div></li><li class="form-line" id="id_43"><div class="form-label-top" id="label_43"><label for="input_43"> Indicate below if there are any extenuating or special circumstances of which Yeshiva of Scottsdale should be aware when considering your application. </label><label class="label-message" for="input_43"> </label></div><div id="cid_43" class="form-input-wide"> <textarea id="input_43" class="form-textarea" name="q43_input43" cols="40" rows="6"></textarea> </div></li><li class="form-line" id="id_45"><div id="cid_45" class="form-input-wide"> <div id="text_45" class="form-html"><p>I agree that filling in my name below is my Digital Signature and by submitting this form I hereby certify that the above information represents a complete and accurate response to all questions. I agree that a reduction in tuition, if granted, is subject to reconsideration at any time upon a material change in circumstances involving my ability to pay. I promise to report any such change in circumstances promptly. I agree that if a reduction in tuition is granted, I will assist the yeshiva in its activities. I understand that failure to do so would justify a reconsideration of the allowance granted to me. </p>
</div> </div></li><li class="form-line" id="id_46"><div class="form-label-top" id="label_46"><label for="input_46"> Name of Parent<span class="form-required">*</span> </label><label class="label-message" for="input_46"> </label></div><div id="cid_46" class="form-input-wide"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q46_fullName46[first]" id="first_46" autocomplete="given-name" />  <label class="form-sub-label" for="first_46" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q46_fullName46[last]" id="last_46" autocomplete="family-name" />  <label class="form-sub-label" for="last_46" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_2"><div id="cid_2" class="form-input-wide"> <div style="text-align: center;" class="form-buttons-wrapper button-align-center"><button id="input_2" type="submit" class="form-submit-button  form-submit-button-none;">Submit</button></div> </div></li><li style="display:none">Should be Empty: <input type="text" name="website" value="" /></li></ul></div><input type="hidden" id="simple_spc" name="simple_spc" value="6965188" /><script type="text/javascript">document.getElementById("si"+"mple"+"_spc").value = "6965188-6965188";</script></form></div>
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