BJC Teen Israel Scholarships

* Applicants First Name

* Applicants Last Name

* Applicants Email

* Applicants Phone

* Parent First Name

* Parent Last Name

* Parent 1 Email Address

* Parent 1 Mobile

Name of Second Parent (if applicable)

Email of Second Parent (If Applicable)

Phone of second parent (If Applicable)

* Primary Household Address

* Primary Household City

* Primary Household State

* Primary Household Zip

Applicant's Current Grade

* Name of Israel Program

Length of Trip

* Cost of Trip or Program

* Why is it important for you to participate in this program? What do you hope to gain from spending time in Israel?

* What is your involvement in Jewish education & youth group?

* How do you plan to bring back your learning/share your trip with the Beth Jacob Community?

* What amount are you requesting in scholarship?

* What is your Annual Household Income?

* What other sources have you gone to for financial aid?

* Are there special circumstances you want us to be aware of that may impact our allocation?

Fri, May 9 2025 11 Iyyar 5785

Beth Jacob Congregation

1179 VIctoria Curve, Mendota Heights, Minnesota, 55118