HDNA Scholarship Application (MBI 2023)

HDNA Machaneh Bonim b'Israel (MBI) 2023 Program Scholarship Application

For questions or concerns, please email Sue Aistrop at finance@habonimdror.org or call the HDNA Central Office at (267) 908-7005, Ext.1 . Please submit your scholarship application by April 18th, 2023.
Applicant Full Name*

First NameMiddle NameLast Name
Birthdate:*

MonthDayYear
Home Phone Number*

Area CodePhone Number
Preferred Contact Email:*
Where the confirmation will be send to
Parent/Guardian E-mail:
If applicable, which HDNA machaneh do you attend?
Home Address :*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Are you opting in to receive the $100 USD flight stipend?*

YesNo
Do you wish to be considered for further scholarships from HDNA?*

YesNo
Parent 1 Living*

YesNo
Parent 2 Living*

YesNo
Are your parents divorced?*

YesNo
Are your parents seperated?*

YesNo
I live with...*

parent #1parent #2both parents
Have you filled out the UJA Toronto Scholarship Application?*

YesNo
Who will be paying for the program?*
If more than one person is assisting you to pay for MBI, please indicate your relation to them and the amount that they will be providing to support your MBI tuition.
If you have previously been involved with Habonim Dror in the past, please describe your involvement, including the dates you attended machaneh (camp), and your involvement in the past two years in the ken (year-round activities) and at machaneh.*
Explain how you plan to bring your experiences from the program back to Habonim Dror North America. Please explain in both the short term and long term.*
Recipients of Habonim Dror MBI Scholarships must also register to receive a RootOne Tuition Voucher (if eligible). Have you registered for your RootOne Tuition Voucher?*

YesNo
Why have you not registered for your RootOne Voucher, and do you plan to register to receive one?*
We encourage all participants to apply to additional scholarship sources, if possible. What other financial scholarships/grants have you applied for or received? Please include the name of scholarship and amount requested/received:*
You must upload with this application an official copy of your familiy's most recent tax return.*
This is a secure platform and the file will be immediately deleted after review
If your families income has changed in the past year, please explain why and what the significance is here:
Please use this space to explain anything else that might be significant to your financial situation that is not represented in your tax returns:
Are there other special considerations you would like us to be aware of?*
Should be Empty:

HDNA Machaneh Bonim b'Israel (MBI) 2023 Program Scholarship Application