Rabbi Gershon Hadas Guardian Society for Jewish Children Long Term Israel Program Application
This application is for scholarship assistance long term Israel programs that take place over 3 months or longer. Please read this application thoroughly prior to completion. Please return as far in advance of the program as possible.
The Guardian Society is a community fund available to the Jewish children of Greater Kansas City. For many years, this scholarship program has enabled thousands of young people to participate in Jewish enrichment summer programs, including Jewish sleep-away camps and Israel programs. The Guardian Society is a last source for financial assistance. Applications will not be considered until the applicant has submitted a scholarship request to the sponsoring organization and to their local congregation and the individual/family makes a meaningful contribution to the cost of the program. A student can only receive assistance for ONE Israel program. Funds awarded by the Guardian Society can only be sent to a U.S. office of the program and cannot be disbursed to individuals.
A completed 2023 federal tax return AND a 2025 W2 is required with this application. Federal tax returns AND W2s of both parents/guardians are necessary for families with separate household incomes. Applications will NOT be processed without the most recent tax return(s) and W2(s). All information is confidential. Financial information will be shredded upon completion of the scholarship process.
Name of Israel Program:
*
Dates of Israel Program:
*
U.S. Address of Israel Program
*
Participant Information
Name
*
First Name
Last Name
Age and Grade
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Congregation
*
How many years has the student attended camp?
*
With whom does the student live?
*
Both parents
Parent/Guardian 1
Parent/Guardian 2
Other
If "other" please specify.
Parent/Guardian Contact Information
Name of Parent/Guardian 1:
*
First Name
Last Name
Address of Parent/Guardian 1:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number of Parent/Guardian 1 (home)
*
Please enter a valid phone number.
Phone Number of Parent/Guardian 1 (mobile)
Please enter a valid phone number.
Phone Number of Parent/Guardian 1 (work)
Please enter a valid phone number.
Email of Parent/Guardian 1:
*
example@example.com
Congregation of Parent/Guardian 1:
*
Name of Parent/Guardian 2:
First Name
Last Name
Address of Parent/Guardian 2:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number of Parent/Guardian 2 (home):
Please enter a valid phone number.
Phone Number of Parent/Guardian 2 (mobile):
Please enter a valid phone number.
Phone Number of Parent/Guardian 2 (work):
Please enter a valid phone number.
Email of Parent/Guardian 2:
example@example.com
Congregation of Parent/Guardian 2:
*
Additional Questions
Are you enrolled in the Jewish Federation's Passport to Israel Program (in Kansas City or another community)? If not, why not?
*
Have you received scholarship aid from the Guardian Society in the past? For what program and when?
*
Are you requesting financial aid from other sources? If so, where?
*
Please explain any circumstances of which the committee should be aware in considering your application.
*
Financial Information
Total cost of the program (NOT including domestic travel expenses)
*
Scholarship aid from congregation
*
Funds from sponsoring organization
*
Financial aid from other sources
*
Maximum amount from family resources
*
Assistance requested from Guardian
*
Today's Date
*
-
Month
-
Day
Year
Date
Signature of Participant (or parent if under 21 years of age)
*
Participant Essay
The participant is to write an essay (50 words or less) on "Why I would like to participate in this program." Please insert this essay in the box below.
Notice to Applicants:
By signing this application requesting financial assistance, the applicant hereby agrees that in the event a scholarship is awarded but the individual does not participate in the program, you will inform the organization sponsoring the camp or Israel program and request that the funds be returned to the Jewish Federation.
Today's Date
*
-
Month
-
Day
Year
Date
Signature
*
Please upload a completed 2023 federal tax return and 2025 W2. If the family has separate household incomes, please attach a completed 2023 federal tax return and 2025 W2 for each parent/guardian. Forms can also be emailed to sierrad@jewishkc.org or dropped off at the Jewish Federation of Greater Kansas City office.
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