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Applications for Israel Scholarship (Shteigers program) should be submitted via Shteigers.org

Basic Info

First Name

Last Name

Address

City

Zip

Home Phone

Cell Phone

Gender
Male Female

Religous Affiliation
Born Jewish Converted Not Jewish

Date of birth

Allergies

Medications & Reason taken

Any history of anxiety, depression and/or eating disorders?

Sweatshirt Size

Upload photo of yourself
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Schooling Info

Most Recent School

Please choose your school from the dropdown. If your school is not on this list, please choose Other, and specify in the "other" field.

Elementary School

Start Year

End Year

Previous Camp Name

Number of Years Attended

Are you currently employed?
Yes No

Are you returning from Israel?
Yes No

Plans for next year
Work College/Seminary Other

References

List 2 names and numbers of teachers/principal who currently know you well.

Reference 1

Name

Phone

Relationship

Reference 2

Name

Phone

Relationship

Camp Info

Choose a Session

Session A Session B Session C

Girls:
A- 6/26 - 7/13
B- 7/14 - 7/28
C- 7/31 - 8/20

Boys:
A- 7/3 - 7/22
B- 7/25 - 8/7
B- 8/ 8 - 8/21

Refered by

Name

Phone Number

Other friends attending

Will you be applying for an Israel Scholarship?
Yes No

Please submit your credit card information below. The DU summer experience is FREE.
Once your application has been processed and you have been accepted, you will be able to withdraw any time before June 1st 2025.
If you are accepted and then withdraw after June 1st 2025, then your credit card will be charged a $300 cancellation fee.
We accept Visa, Mastercard and Discover.

Name on Card

Credit Card Number

Expiration Date

CVV

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Basic Info

Schooling Info

Family Information

Father's Info

Mother's Info

References

Reference 1

Reference 2

Camp Info

Choose a Session

Refered by

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General Info

Next Steps

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