Camp Scholarship Form

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Congregation Tikvat Jacob Beth Torah

Scholarship Application

for Jewish programming, adult education, summer camp, Israel trips, and more

Limited funds available.

(Please complete a separate form for each child.)

Your Name*

First Name

Last Name

Please describe what programming you would like to attend that requires funds.

e.g. Summer Camp, Hebrew Class at the AJU, upcoming class at CTJ, etc.

Child's Name, if applicable

First Name

Last Name

Email*

Phone - Preferred*

Grade of Child in Religious School

How long have you been a member of CTJ?*

Name of summer camp or program to which you are applying, if applicable.*

Length of Program*

Dates of Program*

Total fee* $

Amount you are requesting* $

Date fee is required

Reason for financial assistance*

Check will be made payable to: "Program Name Only". Please provide address.*

Are you applying for or receiving other financial assistance for this program?*

Yes No

If yes, indicate the other sources

I understand and agree to abide by the eligibility requirements described below

You must be a member in good standing of CTJ.
You must be applying to a recognized Jewish summer camp or Jewish program. If you are not sure that your program qualifies, please inquire at the CTJ Office.
You must be willing to participate in synagogue and communal activities.
Your child is strongly encouraged to write a Thank You letter after the experience or activity.
Please supply program address.

Agreement*

I understand

Signature*

Use your mouse or finger to draw your signature above