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Scholarship Form

Scholarship Form

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2016 Scholarship Application Form

Camp Gan Izzy of Pacific Palisades

The Gan Izzy Scholarship Fund offers financial aid based on economic need. We offer partial scholarships and payment plans. Due to great demand and limited resources, it is important that you provide us with your complete financial picture for full consideration. The scholarships are awarded on a sliding scale and a first come first served basis. Please use one form per Camper.

 


Personal Information
Camper's Name
School
Date of Birth:
Gender
Age
 
Parent/Guardian
Relationship to camper
Address
City
State
Zip
Phone
Email
 
Programs you are applying for:
Gan Izzy Program

Amount of weeks you are interested in:

Which Weeks
Weekly amount which you are able to afford:
Where did your child attend camp last summer:
What was the tuition amount:

Financial Summary:

Employer (s):

Phone:

Total Household Annual Income:

Monthly Car Payments:

Other Major Expenses to Consider:

Names & Ages of All Household Members:

Please explain any special financial circumstances/expenses you currently have:

Please explain why you are requesting scholarship funds:

 

I confirm that the above information is true and accurate to the best of my knowledge.

Signature Date

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