CGl 2026 Scholarship Form

Scholarships are given as an annual award for Jewish children attending Camp Gan Israel Northern Nevada. Families awarded the scholarship will need to re-apply the following year. A limited amount of funds are made available and are awarded based on need and in order of application.

Child's Name*

Child's Last Name*

Hebrew Name*

Birth Date*

Month Day Year

Mother's Name*

Mother's Last Name*

Mother's Cell Number*

Mother's Profession*

Was the mother born Jewish?*

YesNo

If no, please explain your families Jewish identification.

Father's Name*

Father's Last Name*

Father's Cell Number*

Father's Profession*

Was the father born Jewish?*

YesNo

Marital Status*

MarriedSeparatedDivorced

Number of children in the family*

Number of children attending camp

Are you a member of a local synagogue?*

YesNo

If yes, which synagogue are you affiliated with?

E-mail* Please input the preferred email for CGI to be in contact with you.

Adjusted Gross Income on 2023 Tax Return ( Line 22 on 1040 or Line 15 on 1040A)*

Will your child be attending the full session of Camp Gan Israel?* Priority will be given to children attending the full session of Camp Gan Israel (June 22-July 10), first time campers, and campers with siblings.

YesNo

Weeks Attending*

Week 1 6/29-7/2Week 2 7/6-7/10Week 3 7/13-7/17

Scholarship Often parents have in mind a certain amount. Please share with us a per day amount you would like to pay for your child.

Email Address*

Preferred Contact Method*

Mother's CellFather's CellEmail

Child's Information

Family Information

Camp Information

Contact Information

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