Scholarship Application

Father's Full Name

First Name Last Name

Mother's Full Name

First Name Last Name

Student 1 Name

First Name Last Name

Student 2 Name (if applicable)

First Name Last Name

Student 3 Name (if applicable)

First Name Last Name

Were you aware that you can spread tuition throughout a 6 month period (this makes it easier for many families)?

YesNo

How much of a scholarship are you applying for?

If you have any questions, please reach out to Rabbi Yitzi Hein

Email: yhein@jewishpittsford.com
Phone: 585.286.6147

J Ki ds