Summer Camp Scholarship Application

Member Name*

First Last

Member Email*

Children's Names

Child #1	Child #2	Child #3

Children's Ages

Child #1	Child #2	Child #3

Child 1 - Camp Attending:

Child 1 - Session:

Child 2 - Camp Attending:

Child 2 - Session:

Child 3 - Camp Attending:

Child 3 - Session:

Parents Will Pay:

Child #1	Child #2	Child #3

2018 Gross Earnings

Total number of children in family:

Please attach a statement of any extenuating circumstances.

Scholarship Information

You must apply for aid to the institution(s) indicated below before your application will be considered by NSSBE.

Have you applied to JUF (312-346-6700) for a Camp Scholarship?

Has JUF responded?

What amount of money was awarded?

Have you applied to the Camp for a scholarship?

What amount of money was awarded?

CAPTCHA