Mr. G's Student Application

Address*

Phone Number*

Student's
Date of Birth:*
High School*
Do you have siblings? If yes please list with ages
Please explain why you want to participate in Hebrew High / Camp (250 or less)*
Until now, what has been the most impactful Jewish experience you've had?
Please describe your Jewish education up to this point:*
What other extracurricular activities are you currently participating in (please list)?*
Did you have a Bar/Bat Mitzvah? (If yes, what synagogue. If no, would you like to have one?
Are you affiliated with any Jewish organizations or clubs? (If yes please list)
Must check this box before submitting:*

I understand and agree that the scholarship fund is not obligated to subsidize. Any grant is a one-time gift and not binding for future applications.
Should be Empty:

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