2025 Summer Subsidy Application

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* First Name of Camp Applicant

* Last Name of Camp Applicant

* Birthdate

* Students Grade during the 2024 - 2025 school year

* Guardian 1 Name

* Guardian 1 Email

Guardian 2 Name (if applicable)

Guardian 2 Email (if applicable)

* Will the applicant be attending a Day Camp, Over Night Camp, Israel Program or Gap Year Program?

* The applicant is on a waitlist or is accepted?

* 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 date does the program start?

* What date does the program end?

* 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

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

* 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

Sun, May 11 2025 13 Iyyar 5785

2025 Summer Subsidy Application

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