Language
  • English (US)
  • Hebrew

  • Parent Information

  • Parent 1

  •  -

  • Parent 2

  • Children Information

  • Child 1

  • Child 1 Date of Birth*
     - -
  • Child 1 Weeks Registered*
    • Add a Second Child 
    • Child 2 Date of Birth
       - -
    • Child 2 Weeks Registered
    • Add a Third Child 
    • Child 3 Date of Birth
       - -
    • Child 3 Weeks Registered
    • Add a Fourth Child 
    • Child 4 Date of Birth
       - -
    • Child 4 Weeks Registered

  • Financial Information

  • Have you previously received a scholarship through the Camp Gan Israel Scholarship Fund?

  • Tax Return Information

    Parent(s) claiming the applicant for tax purposes (tax returns are required to be submitted). Please answer these questions as listed on your tax returns.

  • Needs

  • Reference

    Please provide a rabbinic or personal reference who may be contacted to confirm the information provided above.
  •  -

  • Request

  • I confirm that all the information contained above is accurate to the best of my knowledge and I understand that if this information is found to be false I may be disqualified from receiving aid and may be required to return any funds received.

  • Should be Empty: