YOUTH GROUP PROGRAM SCHOLARSHIP

The current program requirements include the following:

Scholarships are available only to Jewish residents of the Omaha metropolitan area.
Applications must be submitted a minimum of two weeks before the event.

Award notifications will be sent to parents and the youth group director via email.

To apply for a Youth Group Program Scholarship, complete this application in full.

***To save your application to continue later: You must enter your email address and click ‘Send Link’ AFTER clicking the ‘Save and Continue Later’ button in order to receive the email link to continue your application at a later time.***

Applications must be submitted a minimum of TWO WEEKS before the event or registration date.

Questions? Contact:
Diane Walker
(402) 334-6551
dwalker@jewishomaha.org

Step 1 of 2

Participant Name*
First Middle Last
Preferred First Name
Gender*
Date of Birth*
MM slash DD slash YYYY
Parent/Guardian 1*
First Last
Parent/Guardian 2
First Last
Parent Marital Status*
Address*
Street Address Address Line 2 City State ZIP Code
Parent Email*
Daytime/Cell Phone*

Save and Continue Later

YOUTH GROUP PROGRAM SCHOLARSHIP

Step 1 of 2

Parent/Guardian Agreement