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BJC Teen Israel Scholarships
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Applicants First Name
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Applicants Last Name
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Applicants Email
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Applicants Phone
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Parent First Name
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Parent Last Name
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Parent 1 Email Address
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Parent 1 Mobile
Name of Second Parent (if applicable)
Email of Second Parent (If Applicable)
Phone of second parent (If Applicable)
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Primary Household Address
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Primary Household City
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Primary Household State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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Primary Household Zip
Applicant's Current Grade
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Name of Israel Program
Length of Trip
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Cost of Trip or Program
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Why is it important for you to participate in this program? What do you hope to gain from spending time in Israel?
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What is your involvement in Jewish education & youth group?
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How do you plan to bring back your learning/share your trip with the Beth Jacob Community?
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What amount are you requesting in scholarship?
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What is your Annual Household Income?
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What other sources have you gone to for financial aid?
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Are there special circumstances you want us to be aware of that may impact our allocation?
Mon, December 11 2023 28 Kislev 5784