Segal Scholarship Fund ApplicationThe Segal Scholarship Fund was built with the intentions that no child should be turned away from a Jewish Education due to lack of funds. For those families that need the financial aid, we are currently offering a scholarship for the upcoming 2022-2023 Hebrew School year. Fill out this form to apply. Terms and Conditions of ScholarshipBy applying for this Scholarship I agree to the following; The scholarship will pay for each Sunday that my child attends Hebrew School. I will only be billed for any remaining balance. I authorize the Seacoast Chabad Jewish Center to charge my credit card $32 per child for any Sunday missed for whatever reason. It’s my responsibility to make sure that Seacoast Chabad Jewish Center has a working credit card on file. If your child/ren attend Hebrew School every Sunday that there is Hebrew School, tuition will be fully covered. Please note: The $100 Registration fee per child is not included in the scholarship. 12 Name of Child 1* First Name Last Name Name of Child 2 First Name Last Name * Full Scholarship $800Half Scholarship $400 What would you like your child to gain from the Hebrew School experience?* Has your child ever attended Hebrew School?* YesNo Questions/Comments: Parent's Information Father's Full Name* First Name Last Name Phone Number* Area Code Phone Number Employer Job Title City of Residence* Religious Affiliation* Mother's Full Name* First Name Last Name Phone Number* Area Code Phone Number Employer Job Title City of Residence* Religious Affiliation* Marital Status* Child #1 Information Full Name* First Name Last Name School Name* * PublicPrivate Grade (Upcoming Fall)* Child #2 Information Full Name First Name Last Name School Name PublicPrivate Grade (Upcoming Fall) Would you be willing to help out in exchange for some of your Hebrew School fees?* If yes, do you have any particular skills that you would like to share?* STATEMENT OF NEED Describe why your requesting financial aid.* SIGNATURE I confirm that all the information contained above is accurate to the best of my knowledge. Signature* E-mail* Date* Month Day Year Submit Should be Empty: This page uses TLS encryption to keep your data secure.
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