2022-2023 Talmud Torah Scholarship Application - Form - Beth El Phoenix

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2022-2023 Talmud Torah Scholarship Application

Please verify reCaptcha before submitting the form.

Section A: Family Contact Information

* First Name (Primary)

* Last Name (Primary)

* Email (Primary)

* Street Address (Primary)

* City (Primary)

* State (Primary)

* ZIP (Primary)

Parental Employment Status

One Parent is employedTwo Parents are employedOther

Section B: Student Information

* Student Information

Please Select One1 Child2 Children3 Children4 Children

Student 1 Information

* Student 1 First Name

* Student 1 Last Name

* Student 1 Grade

Student 2 Information

* Student 2 First Name

* Student 2 Last Name

* Student 2 Grade

Student 3 Information

* Student 3 First Name

* Student 3 Last Name

* Student 3 Grade

Student 4 Information

* Student 4 First Name

* Student 4 Last Name

* Student 4 Grade

Section D: Payment Information

Total Amount of Tuition Household Can Contribute:

* $100 Registration Fee Per Student:

Choose the number of students enrolling.

$75 Book Fee Per Student:

Choose the number of students enrolling.

Total Amount

Would you like to utilize a payment plan for the fees (final payment due in May 2022)?

YesNo

Thank you for your interest in Beth El Talmud Torah. We look forward to you being part of our program.

If you have any questions regarding this application, please contact Alicia Moskowitz at

amoskowitz@bethelphoenix.com or (602) 944 3359 ext. 109.

Sat, June 10 2023 21 Sivan 5783

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