HaMakom at Temple Beth Am Youth and Camp Scholarship Form
Scholarship Guidelines:
- The family must be Temple Beth Am members in good standing
- Must be an active participant at Temple Beth Am
- The youth must be willing to maintain future involvement with Temple Beth Am
- The youth is expected to write or speak what they have learned/how their growth will benefit Temple Beth Am in the future
Applicant's Name (Last, First) *
Your answer
Parent/Guardian's Name *
Your answer
Applicant Birthdate *
MM
/
DD
/
YYYY
Current Grade of Applicant *
Your answer
Address *
Your answer
Phone number *
Best number to be reached at
Your answer
E-mail *
Your answer
Name of the program/summer camp *
Your answer
Have you previously participated in the program or summer camp? *
If so, how many times?
Your answer
Applicant's involvement in TBA activities *
Check all that apply
Required
What has been your involvement with TBA and the local Jewish community? What community service/volunteering have you completed in the last year? *
Your answer
Why do you want to attend this program/summer camp? What do you hope to gain from attending? *
Your answer
In what ways will attending this program impact your future involvement at TBA? *
Your answer
Parent/Guardian *
How do you believe your child will benefit from this experience? Consider their strengths and areas of growth.
Your answer
Total cost of program and transportation *
Your answer
Scholarship Amount Requested *
Your answer
Electronic Signatures *
The Scholarship Committee considers the recipient's potential to return from this experience enriched with knowledge and love for Judaism. From this, we request the recipient prepare to share these attributes with the Temple Beth Am community. In applying for this award, Temple Beth Am expects each recipient to fulfill a commitment to Judaism through participation in Temple activities in the coming year, and in the future. In addition, we would like recipients to write a short telling of their experience that may be published to share with our community.
Electronic Signature of Student *
Your answer
Electronic Signature of Parent/Guardian *
Your answer
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