Annual Gathering Scholarship Request Form - Association of Reform Jewish Educators

Date of Application *

First Name *

Last Name *

Email *

Phone *

Organization *

Address Line 1 *

Address Line 2

City *

State *

Postal Code *

Have you attended an Annual Gathering Before? *

When and where was the last time you attended Annual Gathering? *

Does your organization cover the cost of your ARJE dues or Professional Development? *

What is your organizational budget? *

Financial Information: *

Please share any additional financial information about your organization that is relevant to the request for scholarship

Are you Full-Time or Part-Time? *

Full-Time

Part-Time

Not currently working

Congregation Background *

Is your congregation rural or do you lack the ability to collaborate with other educators locally, if so please describe:

Conference Impact *

What type of impact to you hope attending this conference will have on your and/or your educational program?