Jewish Overnight Summer Camp Scholarship Application

The Jewish Federation of the Berkshires believes that the Jewish overnight camp experience is an integral component of building a child's Jewish identity. Tuition assistance is available for children who are full-time residents of the Berkshires. Please request only what you need to make overnight Jewish camp possible for your child.

Camper Full Name

First NameLast Name

Camper Current Age

Camper Date of Birth

MonthDayYear

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parent/Guardian 1 Name

First NameLast Name

Parent 1 Email

example@example.com

Parent 1 Cell Phone

Please enter a valid phone number.Format: 000-000-0000.

Parent 1 Employment

OccupationEmployer

Parent/Guardian 2 Name

First NameLast Name

Parent 2 Email

example@example.com

Parent 2 Cell Phone

Please enter a valid phone number.Format: 000-000-0000.

Parent 2 Employment

OccupationEmployer

Are you affiliated with a synagogue?

Name of synagogue

Name and Short Description of Summer Camp/Program

Please provide a link to the camp's webpage that shows session date and fees.

Session Start Date

MonthDayYear

Session End Date

MonthDayYear

First-Time Camper?

Total Cost of Attendance

If you are a Massachusetts resident, have you or do you intend to apply for financial assistance from the Road to Camp^ program?

^ Road to Camp offers Massachusetts families making up to $300K a year the life-changing experience of Jewish overnight camp at 30-40% off, summer after summer. Info and application are here.

Have you applied for need-based assistance from the camp?

How much assistance did you request/receive from the camp?

Amount requested from the Grinspoon Foundation (visit hgf.org):

Amount requested from your synagogue:

Enter 0 if not requesting funds from your synagogue.

Amount contributed by camper/participant:

Amount contributed by family (estimated):

Amount requested from the Jewish Federation:

Is the amount you are requesting from Federation more than 50% of the total cost of camp?

Requests over 50% require additional context for consideration. If you arerequesting more than 30%, please tell us more about your circumstances and need so we can better understand your situation.

Have you received a camp scholarship from the Federation in the past?

Has your family contributed to Federation's most recent annual campaign?

IMPORTANT NOTE: To be eligible for a camp scholarship, families are asked to support the Federation’s Annual Campaign with a contribution of any amount. Your participation helps sustain programs like this one. If you have not yet contributed, you can do so here.

By signing the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.

Parent/Guardian Signature

Please verify that you are human

The Jewish Federation of the Berkshires believes that the Jewish overnight camp experience is an integral component of building a child's Jewish identity. Tuition assistance is available for children who are full-time residents of the Berkshires. Please request only what you need to make overnight Jewish camp possible for your child.