Scholarship Form - ChabadNeshama.com

JKC grants Scholarships each year to a number of students. This application should be completed only when the applicant’s financial resources are insufficient to meet the tuition charges of the JKC. The granting of scholarships is made on the basis of financial need and available funds.

Complete this Form. Return to the Chabad office as soon as possible

. Please note there is a limited amount of scholarship money available. Scholarships are granted on a first come first serve basis. Please fill in everything requested. Forms received that are not complete will not be processed.
I’m applying for:*

Scholarship for jkc after school 2021-2022 Scholarship for jkc summer camp
Student Information
Full Name*

First Name Last Name
Hebrew Name
Age*
Grade Entering*
School*
School District*
Additional Child
Full Name

First Name Last Name
Hebrew Name
Age
Grade Entering
School
School District
Additional Child
Full Name

First Name Last Name
Hebrew Name
Age
Grade Entering
School
School District
Parent Information
Are you a single parent?*

Yes No
Full Name*

First Name Last Name
Occupation*

Address*

E-mail*
Phone*

Area Code Phone Number
List any unusual expenses or circumstances that make a scholarship necessary:*
What amount do you feel is appropriate for your family to pay for tuition per child?*
Are there any goods or services that you can provide to JKC?
Should be Empty:

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