2024 Summer Subsidy Application

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* First Name of Camp Applicant

* Last Name of Camp Applicant

* Birthdate

* Students Grade during the 2023 - 2024 school year

* Guardian 1 Name

* Guardian 1 Email

Guardian 2 Name (if applicable)

Guardian 2 Email (if applicable)

Will the application be attending Day Camp, Overnight Camp or an Israel Program.

* Subsidy payable to the following camp or organization.

Subsidies will be paid directly to organization

If you choose other, please let us know what camp or organization to pay your subsidy to.

Subsidies will be paid directly to organization

* How many weeks is the program?

Which session is the applicant attending (if applicable)?

* What is the cost of the program?

* Is applicant receiving or applying for another subsidy or grant?

If yes, please tell us where the subsidy is from and the amount of the award

school, camp, Federation or another synagogue

How many years has the applicant attended Adas Israel Religious School? If never attended please enter N/A

If applicable, indicate how many years applicant has attended Jewish Day School and which school.

If applicable, indicate years applicant attended other synagogue school.

Please specify name

Please let us know what Jewish activities you participate in.

Please tell us about your previous Camp Experience.

Please tell us why you (the applicant) are interested in attending this summer program. We may call on you to share more about your goals and/or experiences during your Jewish summer experience.

* As recipients of subsidies to programs of learning and enrichment, you have a unique opportunity to deepen your knowledge and involvement in the community. The subsidy committee expects each summer scholar to give back to the community in some way. Each recipient of a subsidy may be asked to write a reflection on their summer experience, which may be shared with the community, as well as submit photos, and potentially be called upon to represent Adas in a variety of leadership opportunities. Applicant's and guardian's electronic signature represents acknowledgment of the requirements for participation.

Applicant AND guardian electronic signature

Mon, April 29 2024 21 Nisan 5784

2024 Summer Subsidy Application

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