2023 Summer Application Applicant's Full Name* Applicant's Email Applicant's Cell PhoneCurrent School and Grade* Parent's Full Name* Parent's Email Address* Parent's Cell Phone Number* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Which program do you plan to attend?* What is the most you feel you are able to pay for this program?* What other scholarships have or will you apply for? Which scholarships were you awarded? What is the dollar amount for each scholarship?*Please describe your involvement in southern ncsy*How many years have you been involved with NCSY?* Is participation in this program likely increase your active future involvement in NCSY?* For the following essay questions, answers should be no less than two sentencesExplain why you would like to attend this specific program? How will it affect you and your community if you were (or weren't) to attend.*Please elaborate on your experiences in NCSY and explain how they influenced your decision to pursue this program in particular.*List 2-3 goals you wish to achieve.*Explain why you want to achieve these goals and how you plan to do so.*Realize that this scholarship is an investment in you. Please explain how you plan to give back to the Jewish Community at the conclusion of this program.*As a scholarship recipient, you will be asked to commit service hours to Southern NCSY. Please select the area(s) that you would prefer to service NCSY.* Institutional Advancement and Donor Relations (Making thank you calls / writing letters to NCSY supporters, creating photo albums, video editing, webs Logistics and Technical Support (shopping before shabbatons, loading the bus, setting up meals, taking photos / videos at events, researching costs, Administrative and Communication (Publishing articles for newsletters, websites, facebook pages, designing and printing materials, typing/filing/scan Your Unique skill or interest that can benefit NCSY (Please explain in Other) Other Your scholarship is contingent upon your performance at the NCSY Summer Program you are attending. Payments will be issued directly to NCSY Summer Programs at the completion of the summer. There are limited scholarship funds available and as such, we anticipate the number of request will far exceed the funds we have avaiable and will not be able to grant funding to all of the applicants who approach us.* I understand and agree to the terms and expectations