Youth Scholarship Form

Please fill out the registration form for the scholarship you are requesting prior to filling out this scholarship form.

Camp Bnai Ruach Registration form: CLICK HERE

* Parent/Guardian First Name

* Parent/Guardian Last Name

* Parent/Guardian Mobile Phone

* Parent/Guardian Email

How many children need Scholarship?

Child 1 First Name

Child 1 Last Name

Child 1 Age

Child 2 First Name

Child 2 Last Name

Child 2 Age

Child 3 First Name

Child 3 Last Name

Child 3 Age

Child 4 First Name

Child 4 Last Name

Child 4 Age

Is your family CBI members?

If not what synagogue is your family affiliated with?

What program or camp are you asking scholarship for?

Total cost of program or camp?

Amount of scholarship you are requesting?

Are you seeking aid from other sources? If yes, what other sources?

For summer camp only: In addition to requesting scholarship from CBI, we ask that you apply for grant funds from The Jewish Federation of Orange County through their Passport Grant program. Student must reside in Orange County, CA, be in grades 3-12, and be registered for a nonprofit organization’s Jewish summer program. Grants can be applied to Jewish day and overnight camps. Each child has a lifetime cap of $1,000.

Have you ever received aid from the CBI Youth Department before? If so for which program and number of years you've received scholarship dollars.

This is your opportunity to explain the reason you are seeking aid and your circumstances. Scholarships are need-based; please explain why you are need of scholarship assistance.

Sun, April 28 2024 20 Nisan 5784