Youth Scholarship Application Form

*Only members in good standing of B'nai Torah Congregation are eligible to receive scholarship awards*

Need-based grant: maximum preliminary award is $1500 depending on available funds. Need-based applications require submission of a copy of the parent's/parents' most recent tax return which can be sent or dropped off at the synagogue to the attention of Scholarship Committee c/o Zena Gruda or scanned and emailed to ZenaG@bnai-torah.org.

Incentive grant: maximum award is $360 depending on program cost and available funds. Except for completion of this application, no additional documentation is required.

If additional funds are needed after you receive an award notification, please first apply to the program your student plans to attend. After that award is made please contact Rabbi Englander. We at B’nai Torah Congregation are proud that you are interested in participating in programs that will enrich your Jewish experience. In order to allow us to determine your eligibility for a grant, we need to know more about you.

ALL INFORMATION IS STRICTLY CONFIDENTIAL

Complete all pages of the application.
Your family must belong to B’nai Torah and your accounts must be in good standing.
Submit application with a reference letter and acceptance letter from the program you are attending.
Please check if request is for Need-Based Grant or Incentive Grant

Grant Type*

Need-Based Grant
Incentive-Based Grant

Student's First Name*

Student's Last Name*

Student's Phone Number*

Today's Date*

Student's Age*

Student's Date of Birth*

Student's Address*

Street Address Address Line 2 City State Zip Code

Parent's Signature*

Signature Date*

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ALL INFORMATION IS STRICTLY CONFIDENTIAL

Please Answer The Following Questions.