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Request Hebrew School Scholarship

Scholarship Request
Please complete the form below to apply for a scholarship for Skokie Chabad Hebrew School. Your request will be reviewed as soon as possible, and we will be in touch with you.
Please answer all of the questions fully. The highest degree of confidentiality will be maintained.
Full Name*
First NameLast Name
E-mail*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number*
Area CodePhone Number
Please explain your reason for applying for a scholarship.*
Please provide the name and contact of a reference familiar with your situation. This may be a Rabbi or other well-known person in the community.*
How much of Hebrew School tuition will be you be able to provide yourself, and how much are you requesting from the scholarship fund?*
Should be Empty:

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