Israel Scholarship Application


Eligibility Requirements and Additional Information:

  • All graduating day school seniors are eligible to apply for these Israel Scholarships.
  • Application must be made to an approved Israel learning experience program. Awards will be sent directly to that program on the recipient's behalf.
  • Successful applicants will be notified of the scholarship committee's decision by mail, date to be determined. The balance of fees due to the program is the applicant's responsibility.
  • Recipients are expected to write a thank you letter to the family providing their scholarship before they leave for Israel.

Instructions:

  • Submit three letters of recommendation, in English only, in either of the two following combinations. The first combination is one recommendation from your rabbi or principal and two recommendations from your teachers. The second combination is three recommendations from three teachers.
  • The name, addresses and telephone numbers of three additional references. Do not submit recommendations from family or friends.
  • Mail a certified copy of your most recent school transcript.
  • A copy of your parents' most recent income tax form. This request is optional but becomes important in tie situations.
  • All submitted items are held in strictest confidence.
  • Please complete the form below and mail or drop off all of the other required documents at one time to Rabbi Mordechai Raizman by April 14, 2010.
Mail or drop off completed application materials to:
Associated Talmud Torahs of Chicago
c/o Rabbi Mordechai Raizman
2828 West Pratt Boulevard
Chicago, Illinois 60645


Step 1: General Information

Applicant's First Name:
Applicant's Last Name:
Sex:
Age:
Birth date:
Date of Application Submission:
   
Parents' Names:
Home Address:
City:
State:
Zip Code:
Applicant’s Email:
Parents' Email:
 
   

Step 2: List of Recommenders (three required:)

Name:
Relationship:
   
Name:
Relationship:
   
Name:
Relationship:
   

Step 3: List of Additional Recommenders (three required:)

Name:
Address:
State:
Zip Code:
Phone:
 
   
Name:
Address:
State:
Zip Code:
Phone:
 
   
Name:
Address:
State:
Zip Code:
Phone:
 
   

Step 4: Educational History:

Elementary School(s) attended:
High School(s) attended:
   
Have you been to Israel before?
Yes No
If yes, tell when and how.
To which institution in Israel or Israel Experience
Program are you applying?
   

Step 5: Please answer the following questions:

Describe a Jewish experience that has most
influenced your life.
What do you feel are your most significant
achievements?
Why did you choose this particular Israel Program
in which to participate?
 
   
 
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