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OLD - College Scholarship Application
To be considered a candidate, complete this online form, then submit and you’ll be directed to pay your $50 application fee. Make sure to set aside ample time to provide thoughtful answers to the questions below.

required field First Name

required field Last Name

required field School

required field Major

Freshman Sophomore Junior Senior Grad Student

Permanent Address

required field Address

required field City

State required field Zip

If outside the USA, please enter your State/Province here

Country

required field Home Phone

School Address

required field School Address

required field City

required field Zip

If school is outside the USA, please enter State/Province here

Country

required field Cell Phone

required field Email Address

required field Date of Birth

Name and contact number of the person who referred you:

required field Name

required field Phone

Please answer the following questions.

1. What are your hobbies, interests, clubs, volunteer experiences?

required field

2. What is your previous Jewish education, if any, ex: Hebrew School, Judaism 101, classes at Chabad, etc

required field

3. How would you rate your Hebrew on a scale of 0-10, where 0 is, well, 0, and 10 is most proficient.

required field

4. Please write a short paragraph about your most memorable Jewish experience.

required field

5. What are you looking forward to most about Snorkeling & Study in Key Largo? (be honest!!)

required field

6. What is your main objective in attending the Snorkeling & Study program?

required field

Do you have any medical, dietary, or other needs?

required field

Do you have any allergies, including penicillin?

required field

Will you be taking any medications during the trip?

required field

Do you have any restrictions on activities?

required field

Are you converting? If so, please give us the name and number of your rabbinic contact

required field

Is there anything else you want us to know about you?

Emergency Contact Name and Number

required field Emergency Contact Name

required field Emergency Contact Phone

I give permission to Bais Chana to use photos or video of me in their promotional materials 

required field = Required

 

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Following In Their Footsteps
Wondering where your favorite Bais Chana teachers will be over the next month? Track their footsteps here and catch up with them at classes, workshops, weekends and community events all over the world. this month’s calendar