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STUDENT | SCHOLARSHIP | STAFF | ALUMNI WEEKENDS | INTERNSHIP

Rosalie Cohen Scholarship Fund

Applicant's Name
Legal Address
 
Father’s Name
Father’s Occupation
Employer’s Name
 
Mother’s Name
Mother’s Occupation
Employer’s Name
 
Contact Information
Mailing Address
Telephone (work)
Telephone (home)
Telephone (cell)
E-mail
   
Are you a student?
  no
University name
Area of study
What year of college are you in
Do you intend to continue your studies in college following graduation
   
Employment  

Are you currently employed?

Full or part time?

How many hours weekly?

Wages after taxes?

Employers name and contact info

 
   
Additional Information  
Have you ever visited Israel?
When?
Why?

Have you ever considered continuing your Jewish education in an institution in Israel?

If so, which one?
Please describe your level of Jewish education in detail
 
Program Information
Which Jewish educational program are you looking to attend
Have you applied to that program and been accepted yet

What is the tuition cost for the desired program

Based on your current or projected financial situation how much assistance do you require

Please describe in one paragraph what you hope to gain from this program
   
Reference  
Name
Home Phone
Address
email
Work Phone
   

May we contact you by email in the future?

   

Please review to make sure that all information is accurate. In the even that we require additional information we will contact with our request.

 
 
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