Mother's Information: Mother's Name* First Name Last Name E-mail* Phone Number* Area Code Phone Number Employer:* Occupation:* Father's Information: Father's Name* First Name Last Name E-mail* Phone Number* Area Code Phone Number Employer:* Occupation:* Scholarship Information Please explain briefly why you are requesting a scholarship* How much of the $800 tuition do you feel you can pay?* Comments:* Signature Date Please submit this scholarship application together with an application for Chabad Hebrew School. Please completely fill out the Chabad Hebrew School registration form along with the $50 deposit in the form of a refundable check or a valid credit card. Please Note: You will not be charged for tuition until the scholarship details have been mutually agreed upon and approved by all parties concerned. ALL INFORMATION WILL BE KEPT CONFIDENTIAL Submit Should be Empty: This page uses TLS encryption to keep your data secure.