B'nai Sholom

Reform Congregation

Albany, NY

Yom Shlishi, 24 Kislev 5778

APPLICATION

B’NAI SHOLOM 2018 SUMMER CAMPERSHIP/ISRAEL TRIP SCHOLARSHIP

Deadline:  January 31, 2018

Applicant name:  _________________________________________________________

Type of scholarship (e.g., Camp/Israel Program):__________________________________________________

Dates of planned program_______________________________**Cost of program______________

**PLEASE DEDUCT ANY ADDITIONAL DISCOUNTS FOR WHICH YOU ARE ELIGIBLE

Name and address including all contact information of Camp or Israel Program, along with some information about the organization (unless it is one which our campers regularly attend, such as Eisner or Crane Lake):

Which Jewish educational program are you now in? (circle)    B’Yachad     Mifgash    Other _______      None

Are/were you an aide at BSRC Religious School or B’Yachad?  Y / N    How many years? ______________

Prior camp experience(s) and number of year(s) for which you received a B’nai Sholom scholarship:

Parents and Campers or Israel Trip Students:  Please read and sign the following: 

I understand that in applying for this scholarship I am agreeing to write a short essay for the B'nai Sholom monthly bulletin about my camp experience and how it affected my Jewish identity for the purpose of helping to publicize and generate support for the scholarship program. This will enable future campers to have a summer experience like mine.  Future awards to me or my family members are contingent upon my completion of the essay.  Essays are to be typed and sent to the B’nai Sholom office manager within two months of my return from camp/abroad.

_____________________________________________________________________________________

(Camper/Israel Trip Student signature)                                                (date)

Only Israel Trip Students:

I understand that the Scholarship Committee would like me to send photographs from my trip to Israel so that they can be posted on the B’nai Sholom webpage.  The photographs can be sent to office@bnaisholom.albany.ny.us

____________________________________________________________________________

(Israel Trip Student signature)                                              (date)

We understand that our synagogue accounts must be current to qualify for a scholarship.

____________________________________________________________________________

(Parents of Campers and Israel Trip Students signature)                     (date)