The 2025 Jewish Federation of Greater Ann Arbor Scholarship Application
The 2025 camp scholarship is now closed! Thank you.
Jewish Federation of Greater Ann Arbor
2025 Financial Assistance Application for Summer Camp.
The Jewish Federation of Greater Ann Arbor is committed to providing children, teens and their families with the opportunity to experience the transformative power of Jewish summer camp. Through our needs-based camp scholarship fund administered by Jewish Family Services, Washtenaw County families can apply for financial assistance to attend Jewish day and overnight camps. Please contact Rebecca Nieubuurt at rebeccan@jfsannarbor.org with any questions.
Please complete one per Family
Adult 1
*
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Race/Ethnicity
Address
*
Street, City, Zip Code
Phone Number
*
Please enter a valid phone number.
Email Address
*
Employer
Title
Annual Salary
*
Monthly Salary
*
Other Sources of Income
Child support, Stipends, etc.
Monthly Amount
Is there another adult responsible for the child (children)'s care?
*
Yes
No
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Adult 2
*
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Race/Ethnicity
Address
*
Street, City, Zip Code
Phone Number
*
Email Address
*
Employer
Title
Annual Salary
*
Monthly Salary
*
Other Sources of Income
Child support, Stipends, etc.
Monthly Amount
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Total Number of Children
*
Number of Children in Household
*
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Monthly expenses for the children's primary residence. Please enter "0" if it does not apply
*
Amount
House Payment/Rent
Property Taxes
Utilities
Food
Insurance
Car Payment
Loan Payments
Temple/Synagogue
School Tuition
Other
Please explain any extenuating circumstances relative to monthly expenses:
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Income Information
*
Amount
Adjusted Gross Income
Federal, State & Federal Tax Withheld
Social Security (FICA) Withheld
Total Tax Refund
Net Income After Taxes & Refund
Please Upload Your Most Recent 1040 Tax Form
Browse Files
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2025 Summer Camp Information
Please complete this for each camper you are requesting scholarship funds from the Federation
Camper's Full Name
*
First Name
Last Name
DOB
*
-
Month
-
Day
Year
Date
Name of Camp
*
Business Address of Camp
*
Street, City, Zip Code
Session Duration/# of Sessions
*
Full Tuition Amount
*
How much can you pay?
*
Other Scholarships/Subsidies requested. Please include local, support from the camp, One Happy Camper, or other organizations/foundations.
Resource Name
Amount
Requested
Amount Received
Resource #1
Resource #2
Resource #3
Is the camper registered for the camp?
*
Yes
No
Is this camper going to another camp they need assistance for?
*
Yes
No
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Do you have another camper in need of financial assistance?
*
Yes
No
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Camper's Full Name
*
First Name
Last Name
DOB
*
-
Month
-
Day
Year
Date
Name of Camp
*
Business Address of Camp
*
Street, City, Zip Code
Session Duration/# of Sessions
*
Full Tuition Amount
*
How much can you pay?
*
Other Scholarships/Subsidies requested. Please include local, support from the camp, One Happy Camper, or other organizations/foundations.
Resource Name
Amount
Requested
Amount Received
Resource #1
Resource #2
Resource #3
Is the camper registered for the camp?
*
Yes
No
Is this camper going to another camp they need assistance for?
*
Yes
No
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Name of Camp
*
Business Address of Camp
*
Street, City, Zip Code
Session Duration/# of Sessions
*
Full Tuition Amount
*
How much can you pay?
*
Other Scholarships/Subsidies requested. Please include local, support from the camp, One Happy Camper, or other organizations/foundations.
Resource Name
Amount
Requested
Amount Received
Resource #1
Resource #2
Resource #3
Is the camper registered for the camp?
*
Yes
No
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Name of Camp
*
Business Address of Camp
*
Street, City, Zip Code
Session Duration/# of Sessions
*
Full Tuition Amount
*
How much can you pay?
*
Other Scholarships/Subsidies requested. Please include local, support from the camp, One Happy Camper, or other organizations/foundations.
Resource Name
Amount
Requested
Amount Received
Resource #1
Resource #2
Resource #3
Is the camper registered for the camp?
*
Yes
No
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Is there any other information you would like to add?
Submit
Should be Empty: