Israel Travel Grants & Scholarships Application

Israel Travel Grants & Scholarships Application

Thanks so much for your interest in a grant or scholarship from the Jewish Endowment Foundation of the Jewish Federation of Western Massachusetts! Funding for this category of grants and scholarships is provided by a group of funds that were created for the purpose of supporting Jewish students or adults in attending travel and academic programs. Your application will be considered for any of the funds for which you are eligible based on your responses to the following questions. Please note that this application is specifically limited to residents of Hampden, Hampshire, and Franklin Counties in Massachusetts, and the nearby towns of Suffield, Somers, and Enfield, CT. Your application will be reviewed on a rolling basis throughout the year. Questions? Contact Louis Katz at lkatz@jewishwesternmass.org or 413-737-4313.
Terms and Conditions

I understand all materials are confidential. They will remain the property of JEF and cannot be returned.

I understand that I am not eligible to be considered if my application is incomplete.

I understand that the information I disclose in this application will determine my eligibility for an award and may be shared with committees as part of the selection process.

I understand that all awards are subject to the policies of the JEF.

I certify that all information provided is complete and accurate to the best of my knowledge. If requested, I agree to furnish proof of the information I have submitted.
I have read and accept the terms and conditions as presented above.*

I accept.
How did you hear about this grant program?
What grade are you in (or recently completed)?*

9th10th11th12thCollege (Undergraduate)Adult
Applicant Name*

First NameLast Name
Primary Phone Number*

Area CodePhone Number
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Would you like to be included on our email list?*

YesNo
Preferred Contact Method*

PhoneEmailEither
Parent 1 Name*

First NameLast Name
Parent's Primary Daytime Phone Number*

Area CodePhone Number
Parent 2 Name

First NameLast Name
Synagogue Affiliation (optional)
What is your Jewish education or Jewish community background? (optional)
Trip Information

Please provide the requested information regarding the trip you are planning to attend.
Name of program*
Name of organization sponsoring the trip*
Is this a*

Summer programYear-long programMulti-year programSemester programJewish day school tripOrganized trip for adults
Departure Date

MonthDayYear
Date
Return Date

MonthDayYear
Date
Trip Cost ($)
Is this inclusive (transportation, meals, lodging)?

YesNo
Have you already applied?

YesNo
Have you been accepted to the program?

YesNo
Is this your first trip to Israel?

YesNo
Financial Information

Financial Resources for Program Participation

	Resources
Savings
Parents/Family
Synagogue
Sponsoring Organizations
Other
TOTAL

Budgeted Expenses for Program Participation

	Expenses
Travel
Food & Housing
Insurance/Fees
Other
TOTAL

Amount requested ($)*
Will you be able to participate if you do not receive a scholarship?*

YesNo
Please describe any extenuating circumstances that the committee should consider in evaluating your application (for example: parent's loss of a job)
Why do you want to participate in this program and what do you expect to gain from your trip?*
What extracurricular or volunteer activities in the Jewish and general communities do you participate in, and what leadership roles, if any, have you assumed in relation to these activities?
What impact, if any, has participating in these activities had on you?
How would you hope to benefit the Jewish community on your return from this program?
Letter of Recommendation (optional)

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Evidence of Enrollment (optional)

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Signature

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Israel Travel Grants & Scholarships Application

Trip Information

Financial Information