BJC 2024 Camp Scholarship Application

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Due to limited scholarship funds, need based camp scholarships are available for overnight Jewish camp. The deadline to apply for summer 2024 is November 30th. While we have limited scholarship funds available, we will do our best to work with you and our community partners to acquire as much scholarship as possible. All scholarship awards will be confidentially determined by our scholarship committee. Please be in touch with Rabbi Justin or Scholarship Committee Chair Steve Ukes with any questions.

* 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

Child's Full Name

Child's Current Grade

Name of Camp Child will attend

Name & Length of Session

Cost of Session

What is this child's prior camping experience?

What is this child's involvement in Jewish education & youth group?

Do you have a second child who will be attending camp?

Please Select OneYesNo

Child #2's Full Name

Child #2 Current Grade

Name of Camp Child #2 will attend

Name & Length of Session for Child #2

Cost of Session for Child #2

What is child #2's prior camping experience?

What child #2's involvement in Jewish education & youth group?

Do you have a third child who will be attending camp?

Please Select OneYesNo

Child #3's Full Name

Child #3's Current Grade

Name of Camp Child #3 will attend

Name & Length of Session for Child #3

Cost of Session for Child #3

What is child #3's prior camping experience?

What child #3's involvement in Jewish education & youth group?

Do you have a fourth child who will be attending camp?

Please Select OneYesNo

Child #4's Full Name

Child #4's Current Grade

Name of Camp Child #4 will attend

Name & Length of Session for Child #4

Cost of Session for Child #4

What is child #4's prior camping experience?

What child #3's involvement in Jewish education & youth group?

NOTE: If you have more than 4 children, please note this in the sections below and complete a second form for the remaining children

* Why is it important for your children to attend camp?

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

* What is the total you will be paying for camp this summer?

* What amount are you requesting in scholarship?

* What is your Annual Household Income?

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

Thu, December 12 2024 11 Kislev 5785

Beth Jacob Congregation

1179 VIctoria Curve, Mendota Heights, Minnesota, 55118

Beth-Jacob.org | 651-452-2226 | bjcoffice@beth-jacob.org

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