Step 1 of 3 33% *Only members in good standing of B'nai Torah Congregation are eligible to receive scholarship awards* Need-based grant: maximum preliminary award is $1500 depending on available funds. Need-based applications require submission of a copy of the parent's/parents' most recent tax return which can be sent or dropped off at the synagogue to the attention of Scholarship Committee c/o Zena Gruda or scanned and emailed to ZenaG@bnai-torah.org. Incentive grant: maximum award is $360 depending on program cost and available funds. Except for completion of this application, no additional documentation is required. If additional funds are needed after you receive an award notification, please first apply to the program your student plans to attend. After that award is made please contact Rabbi Englander. We at B’nai Torah Congregation are proud that you are interested in participating in programs that will enrich your Jewish experience. In order to allow us to determine your eligibility for a grant, we need to know more about you. ALL INFORMATION IS STRICTLY CONFIDENTIAL Complete all pages of the application. Your family must belong to B’nai Torah and your accounts must be in good standing. Submit application with a reference letter and acceptance letter from the program you are attending. Please check if request is for Need-Based Grant or Incentive GrantGrant Type*Need-Based GrantIncentive-Based GrantStudent's First Name*Student's Last Name*Student's Phone Number*Today's Date*Student's Age*Student's Date of Birth*Student's Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Zip Code Parent's Signature*Signature Date* Save and Continue Later Please select which program you will participate in:*USY ISRAEL PILGRIMAGEHIGH SCHOOL IN ISRAELCAMP RAMAHUSY ON WHEELSMARCH OF THE LIVINGOTHEROTHER*Address where check should be sent:Number of Weeks*Amount Requested*Cost of Program (Not Including Travel Expenses)*Please Note: The maximum need-based scholarship award is $1500. If this will be insufficient to meet a student’s need, please apply to the program (i.e. Ramah, March of the Living, etc.) for scholarship funds. Following notification of both a B’nai Torah Foundation scholarship award and a program-based award, contact Rabbi Englander at the synagogue if additional funds are needed for the student to attend his or her program.Secular School*Grade Level*GPACurrent Level in Religious SchoolPlans for Future Religious EducationMember of B'nai Torah Congregation SinceWrite a short essay in your own words telling us a little bit about yourself, as well as your synagogue and community activities, and why you want to attend this program* Save and Continue Later Please Answer The Following Questions.1. List Your Activities in the Synagogue:*2. List Your Activities in Secular School or the Community:*3. List Any Jewish or Secular Clubs to Which You Belong:*4. List Your Hobbies:*5. Describe Any Summer Camp Experience You Have Had:*6. Describe any Israel Experience You Have Had:*FOR PARENTS: If applying for a need-based grant, please describe the financial need. Please include any information that could be helpful to the scholarship committee in understanding the fund-request amount.* Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.