Summer Camp and Israel Scholarship Form

Summer Camp, Summer Program, or Israel Program Scholarship Request

* Parent/Caregiver Name(s)

* Email to be used for confirmation email

* Reason for Scholarship Request

Child Name (first and last)

* Child's Grade in School for 2023-2024 School Year

* What is the name of the Summer Camp or Israel Program will your child be attending?

* What is the total cost of tuition, including all sessions?

* Will you be receiving financial support from any other sources? If so, please specify.

* Amount of scholarship requested from Beth Am

* Total amount you will be paying

* Would you like to request scholarship another child?

Select OneNo, I will only be requesting scholarship for one childYes, I will be requesting scholarship for another child

* Child Name (first and last)

* Child's Grade in School for 2023-2024 School Year

* What is the name of the Summer Camp or Program will your child be attending?

* What is the total cost of tuition, including all sessions?

* Will you be receiving financial support from any other sources? If so, please specify.

* Amount of scholarship requested from Beth Am

* What is the total amount you will be paying?

* Would you like to request scholarship another child?

Select OneNo, I don't need to request scholarship for a 3rd ChildYes, I will be requesting scholarship for a 3rd child

* Child Name (first and last)

* Child's Grade in School for 2023-2024 School Year

* What is the name of the Summer Camp or Program will your child be attending?

* What is the total cost of tuition, including all sessions?

* Will you be receiving financial support from any other sources? If so, please specify.

* Amount of scholarship requested from Beth Am

* What is the total amount you will be paying?

Sun, June 4 2023 15 Sivan 5783