JCFR Jewish Overnight Summer Camp Scholarship Fund 2024

Camper's Name

Date of Birth

Parent/Guardian Email

Parent/Guardian Name

Phone Number

Applicant Address

Please explain the need for this scholarship.* (please upload additional pages as needed)

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The information requested on this application is designed solely to ascertain need as this scholarship is need-based. All responses will be kept strictly confidential. No announcement will be made of award winners. Need-based scholarships of approximately $1,000 are available depending on the number of applicants.

What is the name of the program/camp?

What is the estimated cost of attending the program?

How much are you requesting?

What is the length of the program? (please specify days, weeks, months)

Parent Guardian Information - To be Completed by a Parent/Guardian

All responses will be kept strictly confidential. If applicant is self-supporting, applicant should complete this section.

If one guardian, please write N/A in Guardian 2 sections.

Guardian 1’s Employer

Guardian 1’s Occupation

Guardian 2’s Employer

Guardian 2’s Occupation

Number of Children (including applicant)

In a separate line for each child, please include age, college/private school, and the annual cost of schooling.

Income: Total gross family income.

*(Include all sources, i.e. all salaries, trust funds, investments, aid received from relative or friends, etc.)

Please attach a copy of your most recent 1040 Tax form.

Please include any other information you think would be pertinent to the evaluation of this application.

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I/We certify the information in this application is true and complete to the best of my/our knowledge. Falsification of information will result in disqualification and/or termination of any scholarship granted.

I certify that, if funds are received, they will be used for the purposes for which they are granted.
I/We understand that the information contained in the application may be shared with the scholarship committee and JCFR staff.
I/We will also supply additional information if requested by Jewish Community Federation of Richmond

I, the undersigned, agree to the terms above.

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Jewish Overnight Summer Camp Scholarship Fund of the JCFR