CGI Scholarship Application - Camp Gan Israel of Dallas

Confidential Camp Scholarship Application

All scholarships are handled in a sensitive manner, with absolute confidentiality. You will be contacted with the committee's decision when it becomes available. You must respond to the Camp Gan Israel office before the included deadline in order to accept the scholarship. If you are not satisfied with the committee's decision, your card will not be charged and all deposits will be returned in full.

Deadline to fill out the scholarship form is February 16th.
Parents
Parent 1
Full Name*
E-mail*
Phone Number*

Area Code Phone Number
Employer*
Job Title*
City of Residence*
Marital Status*
Parent 2
Full Name
E-mail
Phone Number

Area Code Phone Number
Employer
Job Title
City of Residence
Marital Status
Children
Name of Child Applying for Scholarship*
First Name, Last Name
Date of Birth*

Month Day Year
How many weeks will your child be attending camp?*
Child 2 Full Name
First Name, Last Name
Date of Birth

Month Day Year
How many weeks will your child be attending camp?
Child 3 Full Name
First Name, Last Name
Date of Birth

Month Day Year
How many weeks will your child be attending camp?
Financial
Please answer the following questions to the best of your ability.
Number of Children in the Family
Number of Adults in the Family
Expected Gross Income 2023*
Statement of Need:
Describe any circumstances that support your request for financial aid. The more details you provide, the better we can understand your situation.*
Is there something you or a family member can offer to enhance our camp? A talent to share? Some time to volunteer?
Tuition Fees Information:
Amount of Full Tuition
What can you pay towards camp tuition?*
How much can you receive from other sources (friends or family)?
Funding from any other agencies or grants:
Please add any other details you find necessary to share:
Total Amount Requested*
Signature
I confirm that all the information contained above is accurate to the best of my knowledge.
Full Name*
First Name Last Name
Date*

Month Day Year
Email (for email confirmation and receipt)*
*

I have submitted a Camp Registration form.
Should be Empty:

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Camp Gan Israel of Dallas

Parents

Children

Financial

Signature

Camp Address