Jewish Overnight Summer Camp Scholarship Application

Jewish Overnight Summer Camp Scholarship Application

Submission Deadline: January 16
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.
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.
Parent 2 Employment

OccupationEmployer
Are you affiliated with a synagogue?*

YesNo
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?*

YesNo
Total Cost of Attendance*
Have you applied for need-based assistance from the camp?*

YesNo
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?*

YesNo
So we can better understand your request for more than 50% of the camp cost, please share a brief explanation of your family’s current situation. We also encourage you to apply for financial aid from the camp.
Have you received a camp scholarship from the Federation in the past?*

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

YesNo
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*

Clear
Please verify that you are human*
Should be Empty: