Emergency Relief Form
Summer: 2021

During this difficult time, we understand that families are facing financial challenges. That is precisely why it is at this time that we are enhancing our efforts to ensure your child(ren) remains enrolled in Jewish Overnight Camp. Please use this form to apply for emergency relief for summer 2021 you have been financially impacted by Covid19.

fields marked with a * are required
* Family Name (of children only):
Parent/Guardian 1
* First Name
* Last Name
* Current Occupation:
* Current Monthly Pre-tax Income:
(i.e.: 1500 - for no income, enter "0")
Parent/Guardian 2
First Name
Last Name
Current Occupation:
Current Monthly Pre-tax Income:
(i.e.: 1500 - for no income, enter "0")
 
Total Current Monthly Pre-tax Income:
General Information/Primary Contact
* Primary Contact's email:
* Family Address:
* City
* Postal Code
* Home Phone Number:
* Cell Phone Number:
Documents
Please upload the following documents:
Documentation demonstrating a reduction in income (e.g. record of employment, approval for government assistance such as Employment Insurance (EI) or another government program, wage subsidy approval for a business you own, etc.)
Upload file should be in one of the following formats: PDF, JPG, JPEG, PNG, DOC, DOCX,
The file should not exceed 5MB
 
* Please explain the change in your circumstances:
 

NO APPLICATION WILL BE PROCESSED IF NOT ENTIRELY COMPLETED OR IS MISSING ANY OF THE ABOVE DOCUMENTS. THE GENERATIONS FUND RESERVES THE RIGHT TO REQUEST ANY OTHER DOCUMENTATION IT DEEMS NECESSARY.

PARENTS DECLARATION:

I/we declare that the information provided on this form is, to the best of my/our knowledge, complete, correct and true. I/we give permission to the Generations Fund for Educational Excellence to verify the information reported herein.

I/we are obliged to report any changes/improvements to our financial or economic situation during the summer. Failure to do so may result in the termination of financial assistance.

Any unreported changes during the summer, incomplete or inaccurate information, may result in the review or the withdrawal, in part or in whole, of the Generations FundAccess Grant. I/we acknowledge that, in such a case, I/we are obliged to satisfy any revised payment terms or to withdraw my/our children from the camp.


THIS APPLICATION FORMS PART OF THE CONTRACT BETWEEN OURSELVES AND GENERATIONS FUND

All information submitted and results of this review are strictly confidential.

* Parent/Guardian 1 agrees
Yes 
Parent/Guardian 2 agrees
Yes