Lamdeni Bursary Application

Lamdeni believes it is every child's birthright to receive a Jewish education. On this basis, we aim to keep our fees at a minimum and affordable. Although Lamdeni is a non-profit and all children’s fees are subsidized, in the case of financial difficulty we will work together with the family to make suitable adjustments and provide fee relief. The fee reduction granted is at the discretion of the Bursary Committee and will be discussed with bursary recipients directly

First Child's Full Name*

First Name Last Name

Gender*

MaleFemale

DOB*

Month Day Year

Child's CRN*

Second Child's Full Name

First Name Last Name

Gender

MaleFemale

DOB

Month Day Year

Child's CRN

Third Child's Full Name

First Name Last Name

Gender

MaleFemale

DOB

Month Day Year

Child's CRN

PARENT1 DETAILS

Full Name*

First Name Last Name

DOB*

Month Day Year

CRN Number*

Contact Number*

E-mail*

Relationship to child/children*

MotherFatherOther

Please Specify*

Marital Status*

MarriedSingleOther

Please specify*

Does the child (children) live with you?*

YesNo

Occupation*

EmployedSelf-employedUnemployedA holder of a Centrelink Pensioner Concession or Health Care Card

Employer & Position*

Business Name*

% Owned*

PARENT2 DETAILS

Full Name

First Name Last Name

DOB

Month Day Year

CRN Number

Contact Number

E-mail

Relationship to child/children

MotherFatherOther

Please specify

Marital status

MarriedSingleOther

Please specify

Does the child (children) live with you?

YesNo

Occupation

EmployedSelf-employedUnemployedA holder of a Centrelink Pensioner Concession or Health Care Card

Employer & Position

Business name

% Owned

Please specify reasons for applying*

Do you receive Child Care Subsidy(CCS)?*

YesNo

How many % do you get?*

Please explain*

Please note: Additional financial information may be requested

Are you entitled to Special Child Care Benefit (SCCB)?* (You may be entitled to SCCB if your circumstances have recently worsened)

NoYes

What changed?*

We are requiring this schorlarship from:*

Month Day Year

To:*

Month Day Year

We are requiring:* Please Note: The MAXIMUM bursary amount available to parents is the out of pocket expense after all Government Rebates applied.

Full BursaryPartial Bursary

Partial Bursary Amount:*

1. Bursaries are offered for term by term basis. Applicants must reapply for the following term.

2. Bursaries are granted for the monthly fees only and recipients will be required to pay the full enrolment fee (per child).

3. All bursaries are awarded at the discretion of the Bursary Committee.

4. All information given in the bursary application form, statement of financial position and the general Lamdeni enrolment form must be true and correct at the time of completion. If information is found to be incorrect after a bursary has been awarded, Lamdeni may terminate the bursary immediately.

5. Given the very limited amount of funding available to support the allocation of Bursaries, Lamdeni requires that those receiving bursaries must advise us if their financial situation improves and they no longer require the fee relief assistance. The onus is on the applicant to update all information if or when necessary.

6. Lamdeni reserves the right to alter or cancel the bursary at any time if the student fails to meet class attendance. This must be a minimum of 80% attendance

Please click to confirm*

I have read, understood and agreed with Lamdeni's Bursary Application Terms & Conditions

Please click to authorize*

In a case that Child Care Subsidy is not forwarded to Lamdeni, I authorize Lamdeni to charge my Credit Card accordingly.

I further commit, to the following in lieu of fees and in acceptance of a Full / Part Lamdeni scholarship by debiting my credit card / bank account:*

Payment of the Enrolment Fee & Books Fee of $180.00Child Care Subsidy (CCS) Payable to Lamdeni School Inc.

Payment*

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Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

Parent's /Card Holder's Signature

Date

Month Day Year

Lamdeni Bursary Application

LAMDENI BURSARY APPLICATION

CHILD'S/ CHILDREN'S DETAILS

PARENTS DETAILS

REASON FOR APPLYING FOR LAMDENI BURSARY

BURSARY APPLICATION TERMS & CONDITIONS

TUITION PAYMENT AUTHORISATION - CHILDCARE BENEFIT & REBATE COMMITMENT