Congregation Neveh Shalom 2023 Camper Scholarship Application Camp Solomon Schechter

First Name

Last Name

Phone Number

Camper Information

Parent(s) Name(s)

Camper's name

Camper's age

Camper's grade in Fall 2023

Former camp experience

If you have more than one child you are requesting funding for, please put the above information for the rest of your children here:

Amount requested (when making your request please remember that resources are limited)

Parent 1 employment - company

Parent 1 employment - position

Parent 2 employment - company

Parent 2 employment - position

Total annual income (of both parents)

Have you previously received a scholarship?

YesNo

If yes, scholarship name and amount

Are you applying elsewhere for scholarship money?

YesNo

If yes, scholarship name and amount

Have you been notiﬁed of an allocation?

YesNo

If yes, how much?

What do you feel you can pay in tuition to Camp Solomon Schechter this year?

Please share any extraordinary expenses or circumstances that would help us evaluate your request:

If you have questions or wish to provide additional information, you can contact Michelle Caplan at mcaplan@nevehshalom.org; 503.246.8831.

Tue, January 28 2025 28 Tevet 5785