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, March 14 2025 14 Adar 5785

Beth Jacob Congregation

1179 VIctoria Curve, Mendota Heights, Minnesota, 55118