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2024 Congregation Beth Israel Jewish Summer Camp Scholarship Application

Answer all questions completely. All information will be treated with the strictest confidentiality. If you have questions about completing this application, call Kerri Zerlin, Assistant Director of the MBJLC, at 713-771-6221 *312 or email at kzerlin@beth-israel.org. Please submit this application by March 22, 2024.

 
I. Student Information
 
current grade level
(name of camp and location)
II. Parent/Guardian Information
 
Parent/Guardian 1: 
Parent/Guardian 2: 
III. Family Information
 
Date of divorce or separation:
Custodial parent: 
IV. PARENTS’ FINANCIAL INFORMATION (Please provide ALL information requested)
 
Note: You must be a member in good standing with MBJLC tuition, fees, and annual commitment up to date for the 2022-2023 fiscal year in order to be eligible for a scholarship.
V. COST/FUNDING INFORMATION
COSTS
FUNDING
We have reviewed this application and affirm that the information given is complete and correct.
 
Signature of parent or guardian
Date
Signature of parent or guardian
Date
Mon, April 29 2024 21 Nisan 5784