Jewish Community Foundation, Inc.
2008 Scholarship Cover Page
Name of Student Applicant____________________________________________________________
Address ______________________________________________________________________
_____________________________________________________________________________
Grade_______________ Age ____________ Phone ___________________________________
Name of Parent or Guardian ______________________________________________________
Address & Phone of Parent or Guardian if different from applicant: _______________________
_____________________________________________________________________________
_____________________________________________________________________________
Name of scholarship you are applying for____________________________________________
_____________________________________________________________________________
Have you applied for FAPSA other financial aid?______________________________________
All applicants must attach with submission a:
- Picture of themselves (no larger than wallet size)
- Resume
Winners will be announced prior to May 15, 2008 and will be requested to provide the following:
- Copy of a tuition bill or letter of acceptance from college they are attending
Winners agree to have their picture featured in all marketing efforts including on the JCF website and marketing materials.
For further information, please call (856) 673-2521. Please be sure to attach a copy or documentation of items required for the scholarship you are applying for.
Forward information by March 31, 2008 to :
Jewish Community Foundation
Furer-Barag-Wolf Post 126
Jewish War Veterans Post Scholarship Fund
The Jewish War Veterans Post 126 Scholarship Fund provides scholarship assistance to children or grandchildren of current or deceased members of the JWV Post 126. Assistance will be based upon need or merit for students currently enrolled or applying to attend an accredited college or university at the undergraduate or graduate level. Those eligible shall be relatives of those JWV members residing in the Burlington , Camden or Gloucester Counties
RULES:
1. The JWV Scholarship Committee shall determine the recipient of the award based upon the following criteria listed in order of priority:
· Grade Point Average
· Community service
· Special acts of honors
· Military service
· Other extraordinary need
2. Award period is one year
3. Applicant may apply for an unlimited number of years
4. The award is limited to tuition, books and room and board
5. Applicants must provide the following materials:
· Resume including CGPA and SAT scores
· Transcripts
· Two letters of recommendation
· Applicants may also be asked to participate in an interview
6. Parent or Guardian must complete Scholarship Financial Application form
Send all information to:
Jeff Klein , Executive Director
Jewish Community Foundation
1301 Springdale Road
Cherry Hill , NJ 08003
or fax (866) 322-7181 or email to jklein@jfedsnj.org
DEADLINE:
All materials must be received by March 31, 2008. Winners will be announced by May 15, 2008.
For further information, please contact Jeff Klein at (856) 673-2521 or visit our web site at www.jcfsnj.org
JEWISH COMMUNITY FOUNDATION, INC.
SCHOLARSHIP APPLICATION FORM
This application to be completed BY PARENT OR GUARDIAN for the following scholarships:
Robert L. Schattner Scholarship Fund
The Furer-Barag-Wolf Post 126 Jewish War Veterans Scholarship Fund
Please send a complete application to: Jewish Community Foundation, 130l Springdale Road Suite 200Cherry Hill , NJ 08003
Instructions: Fill out this form completely answering every question. Write N/A for “Not Applicable” for any question, which you cannot answer “Yes” or “No”. Applications will not be processed and submitted to the Scholarship Committee for review if this form is not completely filled out.
PERSONAL INFORMATION:
NAME OF APPLICANT: (Parent or Guardian)___________________________________
For JWV Post 126 Applicant’s only:
NAME OF RELATION: (Current or Deceased)___________________________________
ADDRESS_________________________________ APT. #________ PHONE__________________
CITY_____________________________ STATE___________ ZIP___________
How long have you been at this address? __________ years
MARITAL STATUS: MARRIED_____ SEPARATED ___________ DIVORCED___________
LIST OTHER MEMBERS OF HOUSEHOLD:
NAME RELATIONSHIP AGE
____________________ ________________________ _______
____________________ ________________________ _______
____________________ ________________________ _______
EMPLOYMENT INFORMATION: (Parent or Guardian)
PARENT OR GUARDIAN’S OCCUPATION:______________________
ANNUAL GROSS SALARY $________
BUSINESS NAME_____________________ ADDRESS___________________________________
CITY___________________ STATE_____________ ZIP_________ PHONE______________
SPOUSE’S OCCUPATION________________________ ANNUAL GROSS SALARY $_________
BUSINESS NAME_____________________ADDRESS_____________________________________
CITY____________________STATE_____________ ZIP_________ PHONE ______________
Scholarship Assistance Application (page 2)
All financial information to be completed by Parent or Guardian
DO ANY OF YOUR CHILDREN ATTEND PRIVATE/DAY SCHOOL? Yes____ No____
Have you applied for Financial Aid from your child’s school? Yes_____ No_____
Have you received Financial Aid from your child’s school? Yes____- No____
DO ANY OF YOUR CHILDREN ATTEND COLLEGE? Yes_____ No____
Name of College:__________________________________________________________
Have you applied for Financial Aid from your child’s college? Yes_____ No_____
Have you received Financial Aid from your child’s college? Yes_____ No _____
FINANCIAL INFORMATION: ANNUAL INCOME
Sources of Income:
Applicant’s Gross Annual Wages _________________
Spouse’s Gross Annual Wages _________________
Annual Income from Interest & Dividends _________________
Unemployment Compensation _________________
Annual Social Security Income _________________
Annual Child Support Received _________________
Annual Alimony Received _________________
Annual Support Received from Parents/Relatives _________________
Annual Income from All Other Sources (explain) _________________
Total Annual Income __________
Assets:
Bank Accounts: Total of Current Balances of
Checking/Savings/Money Market Accts., CD’s _________________
Mutual Funds, Stocks, Bonds (Current worth)` _________________
Retirement Savings: IRA’s, 40lK, 403(B) _________________
Home (Market Value less mortgage owed) _________________
Other Assets _________________
Car(s) Make________ Model_______ Year l9___ Own______ Lease_____
Make________ Model_______ Year l9___ Own______ Lease_____
Make________ Model_______ Year 19___ Own______ Lease_____
ANNUAL EXPENSES
Housing:
Rent (Monthly payment_____ x 12 months =) ________________
Do you pay rent to a parent or relative? Yes_____ No____
Mortgage (Monthly payment _____ x 12 months) ________________
Annual Real Estate Taxes ________________
Total Annual Housing Expenses __________
Scholarship Assistance Application (page 3)
School Tuition:
Day School/Private School fees you pay annually ________________
Hebrew School
Synagogue Membership you pay annually ________________
College tuition/room/board you pay annually ________________
Nursery School/daycare fees you pay annually ________________
Total Annual Synagogue/School Expenses ___________
Loans:
Car (monthly payment _____ x 12 months) = ________________
School (monthly payment _____ x 12 months) = ________________
Personal/Home equity (monthly pymt ________x 12)= ________________
Other: Specify_______________________________
(monthly payment _______x12 months)= ________________
Total Annual Loan Payments ___________
Other Unusual Expenses:
Annual Unreimbursed medical expenses ________________
Annual Health Insurance Premiums which
you pay out of pocket ________________
Outstanding Health Bills Still Owed ________________
(example: from major operation)
Other: Explain:___________________ ________________
Total Annual Unusual Expenses: ____________
TOTAL (Add up Housing; School Tuition;
Loans and Unusual expenses) ________________
Credit Cards: Total Current Outstanding Balances: ________________
Additional Information:
If applicant or spouse is currently unemployed, please indicate the date when applicant or spouse became unemployed:
Applicant:_____________________ Spouse___________________
month/year month/year
If applicant or spouse has a medical condition which prevents him/her from being employed, or impacts upon the family’s financial condition, please describe applicant’s/spouse’s medical condition, and explain impact on family’s finances: applicant’s ( ) Spouse’s ( ) Child/Dependent’s ( )
Medical Condition (Describe):___________________________________________________________]
Impact on Family’s Finances:____________________________________________________________
____________________________________________________________________________________]
_____________________________________________________________________________________
PLEASE NOTE: If you have filled out this section, you must furnish a letter from your doctor describing the medical condition.
Scholarship Assistance Application (page 4)
Please feel free to use the space below to include any information, which may have a bearing on your application. You may attach a separate sheets of paper, if necessary, and any letter of reference that you feel will help your application.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Declaration:
I declare that the information contained in this application is true and correct to the best of my knowledge. I am aware that the Scholarship Committee will rely on the accuracy and completeness of the information I have disclosed in making scholarship awards. I understand that my failure to answer all questions accurately and completely will disqualify my application.
Signed:_____________________________________ Date:______________________
Parent or Guardian
Confidentiality:
As part of the scholarship process, a personal interview over the phone may be required. Please be prepared to provide additional information, or to further clarify information contained in this application at that time. Your application and all interviews are handled in the strictest confidence. We will notify you by mail when the Scholarship Committee has made their decision. Please note, award information will not be given out over the telephone.
Please send the completed Scholarship Assistance Application and other required forms (see Scholarship Assistance Application Cover Sheet) to:
Jeff Klein , Executive Director
Jewish Community Foundation, Inc.
1301 Springdale Road Suite 200
Cherry Hill , NJ 08002
JEWISH COMMUNITY FOUNDATION, INC.
SCHOLARSHIP APPLICATION FORM
This application to be completed BY PARENT OR GUARDIAN for the following scholarships:
Robert L. Schattner Scholarship Fund
The Furer-Barag-Wolf Post 126 Jewish War Veterans Scholarship Fund
Please send a complete application to: Jewish Community Foundation, 130l
Instructions: Fill out this form completely answering every question. Write N/A for “Not Applicable” for any question, which you cannot answer “Yes” or “No”. Applications will not be processed and submitted to the Scholarship Committee for review if this form is not completely filled out.
PERSONAL INFORMATION:
NAME OF APPLICANT: (Parent or Guardian)___________________________________
For JWV Post 126 Applicant’s only:
NAME OF RELATION: (Current or Deceased)___________________________________
ADDRESS_________________________________ APT. #________ PHONE__________________
CITY_____________________________ STATE___________ ZIP___________
How long have you been at this address? __________ years
MARITAL STATUS: MARRIED_____ SEPARATED ___________ DIVORCED___________
LIST OTHER MEMBERS OF HOUSEHOLD:
NAME RELATIONSHIP AGE
____________________ ________________________ _______
____________________ ________________________ _______
____________________ ________________________ _______
EMPLOYMENT INFORMATION: (Parent or Guardian)
PARENT OR GUARDIAN’S OCCUPATION:______________________
ANNUAL GROSS SALARY $________
BUSINESS NAME_____________________ ADDRESS___________________________________
CITY___________________ STATE_____________ ZIP_________ PHONE______________
SPOUSE’S OCCUPATION________________________ ANNUAL GROSS SALARY $_________
BUSINESS NAME_____________________ADDRESS_____________________________________
CITY____________________STATE_____________ ZIP_________ PHONE ______________
Scholarship Assistance Application (page 2)
All financial information to be completed by Parent or Guardian
DO ANY OF YOUR CHILDREN ATTEND PRIVATE/DAY SCHOOL? Yes____ No____
Have you applied for Financial Aid from your child’s school? Yes_____ No_____
Have you received Financial Aid from your child’s school? Yes____- No____
DO ANY OF YOUR CHILDREN ATTEND COLLEGE? Yes_____ No____
Name of College:__________________________________________________________
Have you applied for Financial Aid from your child’s college? Yes_____ No_____
Have you received Financial Aid from your child’s college? Yes_____ No _____
FINANCIAL INFORMATION: ANNUAL INCOME
Sources of Income:
Applicant’s Gross Annual Wages _________________
Spouse’s Gross Annual Wages _________________
Annual Income from Interest & Dividends _________________
Unemployment Compensation _________________
Annual Social Security Income _________________
Annual Child Support Received _________________
Annual Alimony Received _________________
Annual Support Received from Parents/Relatives _________________
Annual Income from All Other Sources (explain) _________________
Total Annual Income __________
Assets:
Bank Accounts: Total of Current Balances of
Checking/Savings/Money Market Accts., CD’s _________________
Mutual Funds, Stocks, Bonds (Current worth)` _________________
Retirement Savings: IRA’s, 40lK, 403(B) _________________
Home (Market Value less mortgage owed) _________________
Other Assets _________________
Car(s) Make________ Model_______ Year l9___ Own______ Lease_____
Make________ Model_______ Year l9___ Own______ Lease_____
Make________ Model_______ Year 19___ Own______ Lease_____
ANNUAL EXPENSES
Housing:
Rent (Monthly payment_____ x 12 months =) ________________
Do you pay rent to a parent or relative? Yes_____ No____
Mortgage (Monthly payment _____ x 12 months) ________________
Annual Real Estate Taxes ________________
Total Annual Housing Expenses __________
Scholarship Assistance Application (page 3)
School Tuition:
Day School/Private School fees you pay annually ________________
Synagogue Membership you pay annually ________________
College tuition/room/board you pay annually ________________
Nursery School/daycare fees you pay annually ________________
Total Annual Synagogue/School Expenses ___________
Loans:
Car (monthly payment _____ x 12 months) = ________________
School (monthly payment _____ x 12 months) = ________________
Personal/Home equity (monthly pymt ________x 12)= ________________
Other: Specify_______________________________
(monthly payment _______x12 months)= ________________
Total Annual Loan Payments ___________
Other Unusual Expenses:
Annual Unreimbursed medical expenses ________________
Annual Health Insurance Premiums which
you pay out of pocket ________________
Outstanding Health Bills Still Owed ________________
(example: from major operation)
Other: Explain:___________________ ________________
Total Annual Unusual Expenses: ____________
TOTAL (Add up Housing; School Tuition;
Loans and Unusual expenses) ________________
Credit Cards: Total Current Outstanding Balances: ________________
Additional Information:
If applicant or spouse is currently unemployed, please indicate the date when applicant or spouse became unemployed:
Applicant:_____________________ Spouse___________________
month/year month/year
If applicant or spouse has a medical condition which prevents him/her from being employed, or impacts upon the family’s financial condition, please describe applicant’s/spouse’s medical condition, and explain impact on family’s finances: applicant’s ( ) Spouse’s ( ) Child/Dependent’s ( )
Medical Condition (Describe):___________________________________________________________]
Impact on Family’s Finances:____________________________________________________________
____________________________________________________________________________________]
_____________________________________________________________________________________
PLEASE NOTE: If you have filled out this section, you must furnish a letter from your doctor describing the medical condition.
Scholarship Assistance Application (page 4)
Please feel free to use the space below to include any information, which may have a bearing on your application. You may attach a separate sheets of paper, if necessary, and any letter of reference that you feel will help your application.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Declaration:
I declare that the information contained in this application is true and correct to the best of my knowledge. I am aware that the Scholarship Committee will rely on the accuracy and completeness of the information I have disclosed in making scholarship awards. I understand that my failure to answer all questions accurately and completely will disqualify my application.
Signed:_____________________________________ Date:______________________
Parent or Guardian
Confidentiality:
As part of the scholarship process, a personal interview over the phone may be required. Please be prepared to provide additional information, or to further clarify information contained in this application at that time. Your application and all interviews are handled in the strictest confidence. We will notify you by mail when the Scholarship Committee has made their decision. Please note, award information will not be given out over the telephone.
Please send the completed Scholarship Assistance Application and other required forms (see Scholarship Assistance Application Cover Sheet) to:
Jeff Klein , Executive Director
Jewish Community Foundation, Inc.
Cherry Hill , NJ 08002
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