Holocaust Educational Trip Stipend

Irwin Wygodny Memorial Holocaust Education Trip Stipend

The Men’s Club of NSS Beth El, through our special Holocaust Fund, is awarding the Irwin Wygodny Memorial stipend to those youth traveling to Poland this summer in an organized Holocaust educational program, and whose parent is a member of NSS Beth El.

If you would like to receive this modest stipend, and agree to share your trip experience at a future Men’s Club program inthe Winter/Spring of 2020, please complete the form below.
prior to May 1, 2019.

Contact Brad Pickard at pickardbrad@gmail.com with questions.

First Name*
Last Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Participant's Email*
Parent's Email*
Name of Program Traveling to Poland*
Name and phone number of program coordinator*
Date of departure*
MM slash DD slash YYYY
Date of return*
MM slash DD slash YYYY
Student Signature*
Parent Signature*

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