Address (street and number)
Postal Code
Are you financially supported by parents or other family members? If so, in what monthly amount (average)?
Do you belong to one or more of the following groups
For Israelis: did you grow up in a locality in the Israeli periphery?
Are you an “Oleh Hadash”?
What year did you immigrate to Israel?
Are you an international student?
Please present a summary of the financial difficulty you are experiencing today and for which you are applying for a grant (up to 250 words):