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Donate
Camp Scholarship Application - 2025
Please verify reCaptcha before submitting the form.
Deadline to complete this form is
Friday, January 31, 2025
Family Information
*
Guardian First Name (Primary)
*
Guardian Last Name (Primary)
Guardian First Name (Secondary)
Guardian Last Name (Secondary)
*
Address
*
City
*
State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
Zip Code
Home Phone (Primary)
*
Cell Phone (Primary)
Home Phone (Secondary)
Cell Phone (Secondary)
*
Email Address (Primary)
Email Address (Secondary)
*
Please list any Temple Committees or Auxiliaries on which you serve or any volunteering you do regularly at the Temple:
*
Is there anything you would like the Scholarship Committee to know when considering your application for assistance?
*
Is your Membership 2024-2025 Donation paid?
Yes
No
Camper's Information
REMINDER:
The
deadline
to turn in this form is Friday, January 31, 2025.
*
How many campers will you be applying for?
Please Select One
1
2
3
4
*
Camper's First Name:
*
Camper's Last Name:
*
Is this Camper enrolled in Religious School?
Yes
No
*
Name of the URJ affiliated camp planning to attend:
*
Length of Camper's Session:
*
Total cost of camp planning to attend:
*
Are you planning to apply for other financial assistance programs?
YES
NO
*
Have you applied for a Jewish Federation Camp Scholarship?
YES
NO
Click
HERE
to apply.
*
Have you applied for a Scholarship at the camp your camper is going to?
YES
NO
Many camps have scholarship programs! Be sure to check with the camp to see what funding options they offer.
*
Have you applied for a "One Happy Camper" Scholarship? (FIRST TIME campers ONLY)
YES
NO
Click
HERE
to apply.
*
Total amount family will contribute:
*
Camper's First Name:
2nd Camper
*
Camper's Last Name:
2nd Camper
*
Is this Camper enrolled in Religious School?
Yes
No
2nd Camper
*
Name of the URJ affiliated camp planning to attend:
2nd Camper
*
Length of Camper's Session:
2nd Camper
*
Total cost of camp planning to attend:
2nd Camper
*
Are you planning to apply for other financial assistance programs?
YES
NO
2nd Camper
*
Have you applied for a Jewish Federation Camp Scholarship?
YES
NO
2nd Camper - Click
HERE
to apply.
*
Have you applied for a Scholarship at the camp your camper is going to?
YES
NO
2nd Camper - Many camps have scholarship programs! Be sure to check with the camp to see what funding options they offer.
*
Have you applied for a "One Happy Camper" Scholarship? (FIRST TIME campers ONLY)
YES
NO
2nd Camper - Click
HERE
to apply.
*
Total amount family will contribute:
2nd Camper
*
Camper's First Name:
3rd Camper
*
Camper's Last Name:
3rd Camper
*
Is this Camper enrolled in Religious School?
Yes
No
3rd Camper
*
Name of the URJ affiliated camp planning to attend:
3rd Camper
*
Length of Camper's Session:
3rd Camper
*
Total cost of camp planning to attend:
3rd Camper
*
Are you planning to apply for other financial assistance programs?
YES
NO
3rd Camper
*
Have you applied for a Jewish Federation Camp Scholarship?
YES
NO
3rd Camper - Click
HERE
to apply.
*
Have you applied for a Scholarship at the camp your camper is going to?
YES
NO
3rd Camper - Many camps have scholarship programs! Be sure to check with the camp to see what funding options they offer.
*
Have you applied for a "One Happy Camper" Scholarship? (FIRST TIME campers ONLY)
YES
NO
3rd Camper - Click
HERE
to apply.
*
Total amount family will contribute:
3rd Camper
*
Camper's First Name:
4th Camper
*
Camper's Last Name:
4th Camper
*
Is this Camper enrolled in Religious School?
Yes
No
4th Camper
*
Name of the URJ affiliated camp planning to attend:
4th Camper
*
Length of Camper's Session:
4th Camper
*
Total cost of camp planning to attend:
4th Camper
*
Are you planning to apply for other financial assistance programs?
YES
NO
4th Camper
*
Have you applied for a Jewish Federation Camp Scholarship?
YES
NO
4th Camper - Click
HERE
to apply.
*
Have you applied for a Scholarship at the camp your camper is going to?
YES
NO
4th Camper - Many camps have scholarship programs! Be sure to check with the camp to see what funding options they offer.
*
Have you applied for a "One Happy Camper" Scholarship? (FIRST TIME campers ONLY)
YES
NO
4th Camper - Click
HERE
to apply.
*
Total amount family will contribute:
4th Camper
Mon, December 23 2024 22 Kislev 5785