The Hans & Donna Sternberg Israel Youth Scholarship Program is a limited scholarship with grants of up to $3,000 available for semester-long or year-long programs abroad in Israel, summer excluded. This support is paid directly to the trip organizer.

Personal Information

Teen's Name

Date of Birth

High School

Current Grade in High School

High School Graduation Year

Address

Mobile Phone Number

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Synagogue Affiliation

Trip Choice

Trip is sponsored by

Trip Name

Trip Payment Contact Representative

Trip Payment Mailing Address

Phone Number of Trip

Cost of Trip

Departure Date

Approx. cost of Airfare to the U.S. city trip is departing from (write TBD if unsure)

Please share why you chose the program and what you hope to learn/accomplish while on this trip.

Parent Information

Parent #1 Name

Phone Number

Parent #2 Name

Phone Number

Please indicate which parent is the primary parent for the trip

Hans & Donna Sternberg Israel Youth Scholarship Program Policies

Terms

I/We understand that Hans & Donna Sternberg Israel Youth Scholarship Program will make a grant of up to $3,000 available for my child’s semester-long or year-long programs abroad in Israel, summer programs excluded. This support is paid directly to the trip organizer. I understand I(we) will reimburse the Jewish Federation of Greater New Orleans for any and all funds paid by the Jewish Federation of Greater New Orleans on behalf of my child should my child withdraw from the trip.

I, the undersigned, agree to the terms above.

Date

Hans & Donna Sternberg are passionate supporters of Israel and understand that teen travel is a catalyst for active Jewish involvement at home.

Please submit the completed form online or by mail (3747 W. Esplanade Ave., Metairie, LA 70002).

For questions, please reach out to Jessie Dowsakul: (504) 780-5614.

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