Camp Newman Scholarship Application Summer 2023

Page 1

Instructions

 Please read in full before continuing on with the form:

Before completing this form, make sure you have reached out to other scholarship sources and have the amounts that you have requested, or are receiving, available to include in this form.

Have your income available for both parents. If you are divorced or separated, please make sure you have the income of the other parent if they support the camper financially.

All information contained in this form is secure and confidential. Federal Income Tax Form 1040 for 2021 is required. Do not submit schedules. Please upload an electronic copy of your 1040 form when prompted, or email it to kpress@urj.org, or mail a copy to Camp Newman at the address below. You may black out the Social Security numbers if you wish.

Attn: Scholarship Committee

URJ Camp Newman

4088 Porter Creek Road

Santa Rosa, CA 95404

Scholarship application and 2021 Federal Tax Documents are due by March 3, 2023. If we do not receive tax documents, your application will be incomplete and your camper will not be eligible for scholarship.

We will contact you via email with the camper(s) award amount during the first week of April, 2023. 

Thank you to the following sources. Scholarship grants are funded by: 

  • URJ Camp Newman Scholarship Fund
  • The Jewish Community Federation and Endowment Fund  
  • Many Individual donors
 
Parent/Legal Guardian 1













Parent/Legal Guardian 2











Family


Affiliation






Camper 1 Information









Camper 2 Information









Camper 3 Information









Camper 4 Information









Page 2

Reason for Scholarship Request


Financial Information



$
Round to nearest dollar.

$
If you are divorced or separated, please add the information for the other parent if they support the camper(s) financially

$
Round to to the nearest dollar


$


$
Scholarship Calculations

$

$

$
Please list any other scholarship awards you expect to receive.


$


$


$


$
This is the amount you are requesting in scholarship
2021 Form 1040, pages 1 and 2 required

Please email your tax return to kpress@urj.org, or mail to Camp Newman, 4088 Porter Creek Road, Santa Rosa, CA 95404, Attn: Kim Press
If you are mailing a paper copy, please email Kim at kpress@urj.org to let her know that it is on its way.
Your application will not be marked complete until all documents are received. You will not be able to return to this page. 


Thank you very much for completing your Camp Newman Scholarship Application.  You will receive a confirmation email after you press submit.

Contact Information

Read the URJ's Privacy Statement & Terms of Use