Temple Sinai Education Program Scholarship Application

Temple Sinai is a non-profit organization. Through donations and grants, we are able to provide limited financial assistance to families in need. Everyone is welcome to apply. All of the information we collect is held in the strictest confidence, and will only be used to consider your request.

Please submit one form per child.

Please reference your school enrollment email for scholarship deadline information.

I am submitting an application for:

Temple Sinai PreschoolK-12 Education Program at Temple Sinai

Child Information

Child's First Name

Child's Last Name

Child's Birthdate

Parent 1 Information

Parent 1 First Name

Parent 1 Last Name

Parent 1 Mobile Phone

Parent 1 Email

Parent 1 Professional Field

Parent 1 Employer

Years with Company

Parent 2 Information

Parent 2 First Name

Parent 2 Last Name

Parent 2 Mobile Phone

Parent 2 Email

Parent 2 Professional Field

Parent 2 Employer

Years with Company

Family Information

Address Line 1

Address Line 2

City

State

Zip Code

Country

Please use this space to explain the circumstances behind your request for assistance.

Program Information

Program for which you are requesting assistance

Anticipated contribution from all family resources/funds:

Total cost of program at Temple Sinai

Amount requested from Temple Sinai

Digital Signature of Parent

Please type your first and last name.

Date of Application

Contact Information