Teen Travel Scholarship Form

Teen Travel Scholarship Application

* Parent's First Name

* Parent's Last Name

* Applicant's First & Last Name

* Applicant's School & Grade

* Address

* City

* State

* Zip Code

* Parent's Phone Number

* Parent's Email

* Name of program to which you are applying

Cost of program

If applying on the basis of financial need

How much will you and your parents be able to contribute to the total cost?

Other Grants

Are you applying for or received other grants? Y/N

Have you ever been to Israel?

NoYes

If yes, when & which program?

Do you attend: Kol Yeladim, Hillel Academy, or Judaic Studies Classes?

NoYes

Are you a member of Kol Ami's Chapter of USY?

NoYes

Are you involved in other Jewish Youth organizations?

NoYes

There is an essay part of this application. You may answer the essay questions below or CLICK HERE to download a PDF file with the questions. Once you have completed the essay questions you can upload a file with the answers in the area below. Or you may bring the answers to the Kol Ami office.

Essay Questions

Question 1

Please describe your attendance and participation in Shabbat and holiday services, youth, education, campus and synagogue activities.

Question 2

How do you plan to share your Israel experience with members of the synagogue and community?

Question 3

How will a trip to Israel affect your growth as a Jew?

I understand and agree to abide by the eligibility requirements of this program

* Applicant's Signature

By eSigning this document I have read and agree with the requirements of this program

Date

* Parent's Signature

By eSigning this document I have read and agree with the requirements of this program

Date

Thu, March 23 2023 1 Nisan 5783

Monday - Thursday	9:00AM-5:00PM
Friday	9:00AM-3:00PM

Teen Travel Scholarship Form

Congregation Kol Ami

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