Central Subsidy Application

• Only submit ONE application per applicant. Submitting multiple applications will delay your subsidy.
• Please be advised that due to the limited pool of funding available and other factors, approvals are prioritized for those Jamati members who demonstrate the most serious financial need.
• Please complete each field with as much detail as possible to help us better understand your financial need.
• Once your completed application is reviewed, you will receive notification by email from [email protected].

By initialing this box, you certify that you/your household are currently experiencing severe financial hardship and that you are not able to participate in the desired program without a subsidy.

By initialing this box, you certify that you/your household are currently experiencing severe financial hardship and that you are not able to participate in the desired program without a subsidy. I certify
Program to Attend
**If you don’t see the program for which you want to attend listed here, the application period is no longer open or has not begun. Please email [email protected] for further assistance**
Application ID (AKYSB Use)
Participant Information
Participant's Name Participant's Name First Last
Participant's Address Participant's Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Participant's Email

Confirm Participant's Email Address
Parent/Guardian Name Parent/Guardian Name First Last
Parent/Guardian Address Parent/Guardian Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Parent/Guardian Email Address

Confirm Parent/Guardian Email Address
Occupation: Parent/Guardian 1

Occupation: Parent/Guardian 1 Business Owner/Entrepreneur Professional/Service Provider/Healthcare Hourly/Retail/Delivery Homemaker Unemployed None/Other
Occupation: Parent/Guardian 2

Occupation: Parent/Guardian 2 Business Owner/Entrepreneur Professional/Service Provider/Healthcare Hourly/Retail/Delivery Homemaker Unemployed None/Other
Annual Household Income

Annual Household Income Less than $35K $35K - $55K $55K - $75K $75K - $100K Above $100K
Number of Family Members in your Household
JK You Attend
Participant's Age
Date of Birth Date of Birth / MM / DD YYYY
Participant's Gender
Phone Number Phone Number - ### - ### ####
Understanding the Financial Need
Please provide specific details/information why you need financial assistance to help us better understand and evaluate your request:
Please help us understand your interest and motivation to attend this program:
Dollar Amount Requested towards program fee (not including airfare):
Will you need financial assistance for airfare?
If yes, please enter the dollar amount requested for airfare. If no, please enter 0.
Will you need financial assistance for hotel accommodation (only applicable for Ismaili College Games and ISN Summit)?
If yes, please enter the dollar amount requested for hotel accommodation. If no, please enter 0.
Are you or your family currently receiving any other forms of financial assistance within our Jamati institutions? If yes, please specify
Are you or your family currently receiving any other forms of financial assistance outside our Jamati institutions (government, school, etc.)? If yes, please specify
Have you attended this program in the past? If yes, why do you believe participating again will benefit you or your family?
Have any of your siblings attended this program in the past?
Who completed this application?
Participant Demographic
Attestation

Attestation I affirm that the statements above are true and correct to the best of my knowledge. I also confirm that these statements are my own and based on personal knowledge.
Email Confirmation

Email Confirmation Please add [email protected] as a safe sender to your email. You will receive an email shortly after your submission acknowledging receipt of your application. You will also receive an email notification once a decision has been made regarding your subsidy request.
Signature:

Please type in your name
Step 1

Front Office Use
Application Complete?

Application Complete? Yes No
Reviewed By: Reviewed By: First Last
Step 2

Back Office
Sent to Council Sent to Council / MM / DD YYYY
Sent By:
Council's Approval

Council's Approval Yes No
Council's Notes
Approval Body's Review and Comments
Review Date Review Date / MM / DD YYYY
Approved?
Amount Approved for
Approved By: Approved By: First Last
Step 3

Front Office
Decision Informed to Applicant and Program Manager

Decision Informed to Applicant and Program Manager Yes No
Upload a Receipt For Reimbursement.

Attach Files
Receipts Sent to Finance Team Receipts Sent to Finance Team / MM / DD YYYY
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Central Subsidy Application

Central Subsidy Application

Participant Information

Understanding the Financial Need

Step 1

Step 2

Step 3