Please gather all the necessary information before starting the application. You can only complete this form in one sitting. If you exit the form before completing it, the information will NOT be saved.
I. Personal Information

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* 1. Applicant Name

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* 2. Applicant Date of Birth

Date

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* 3. Primary Phone

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* 4. Alternate Phone

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* 6. Current Address

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* 7. Preferred Pronoun

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* 8. Annual Household Income

II. Educational Information

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* 9. What is the highest level of education you have completed? (Ex: Grade 12, 1st year university, etc.)

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* 10. What is the full name of the school where you completed the highest level of education?

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* 11. Are you currently enrolled as a student in a post-secondary school?

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* 12. What is the name of the accredited post-secondary school you are/will be studying at?

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* 13. Date of Acceptance/Anticipated Date of Confirmation

Date

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* 14. Commencement Date of Study

Date

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* 15. What is your intended program of study?

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* 16. Will you be studying full time or part time?

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* 17. What is the program length?

III. Essay Section

We invite you to share more about yourself. It's important to note that your essay will only be reviewed by the Scholarship Committee and will not be shared or published publicly. We value your privacy and appreciate your candid responses as we consider your application.

How do you imagine yourself in ten years? What are your educational goals? How do you see yourself achieving them? What inspired you to choose your current educational path? In what ways does your past experience influence your future aspirations and goals? What impact do you want to make in your community?

Word limit: 800

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* 18. Essay

IV. Reference
You would need to submit TWO references, who are not immediate family members. Please have your references answer all of the following questions in a document and upload it below.

Reference Name:
Reference Address; City; Postal Code
Phone number:
Email Address:
How long have you known the applicant?
What are the applicant’s top three strengths?
Why is the applicant a good candidate for this scholarship?
What might be potential barriers to applicant’s ability to complete their studies?
Can Jewish Family Services contact you in case we have follow-up questions? Yes/No

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* 19. Upload Reference 1

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* 20. Upload Reference 2

V. Additional Documents
Please upload all of the following documentation here. If you are not able to produce items below, please explain in the comment box.

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* 21. Reasons for not providing documents below.

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* 22. Notice of Last Tax Assessment

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* 23. Academic Records and Transcripts

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* 24. Acceptance letter to Post Secondary Institution

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* 25. Photo ID

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