Nehirim Financial Aid Application Remember, all fields must be completed to be considered for financial assistance. You must also specify which type of aid you are requesting, and for what amount: Work-study student scholarship and the amount, the half-off coupon, or a larger scholarship, also with a specified amount. Any forms lacking this information will not be processed. You MUST fill out all fields--but in particular, note that if you do not include your NAME and EMAIL ADDRESS, we have no way of getting in touch with you about your request.If you experience technical difficulties or have feedback about the form, please let us know by emailing us at info[at]nehirim.org. Thank you! 1. Personal Info Your name: Your email address: Your age: Your geographical location (city, state/province, country): 2. Request details Event for which you are requesting aid: Queer Shabbaton NY Community Gathering Women's Retreat Nehirim West Nehirim East Amount of aid you are requsting: $50 Discount Half-Off Scholarship Larger Scholarship (Non-Student)--enter amount that you can afford here: Student Work-Study Scholarship--enter amount that you can afford here: 3. Why you want to attend Nehirim (3-5 sentences): 4. Your Jewish affiliation/involvment story (3-5 sentences): 5. Tell us a little bit about yourself and why you are requesting aid. If you are a student, tell us about your school and activities (3-5 sentences):
GLBT Jewish Culture & Spirituality
Nehirim: GLBT Jewish Culture & Spirituality | info@nehirim.org | www.nehirim.org
