Scholarship Application - Chabad Wilshire Corridor

Tuition should never stand in the way of a Jewish education.

If you are experiencing financial strain and cannot afford tuition, reach out to the office, and we'll be glad to provide you with the code to complete this application. Call 323-613-3663 or email [email protected].
Access Code* Please enter the code provided to you by the office.
Family Information
Father's Information
Father's name*
First Name Last Name
Phone number*
Email*
Father's employer*
Father's occupation*
Mother's Information
Mother's name*
First Name Last Name
Phone number*
Email*
Mother's employer *
Mother's occupation*

Child's primary address*

Marital status of parents*
Scholarship References
1st reference name*
First Name Last Name
1st reference phone number*
2nd reference name*
First Name Last Name
2nd reference phone number*
Financial Information
Everything in this section is kept strictly confidential and reviewed with care.
Number of children in the family:*
Current gross monthly household income*
In a few words, tell us a bit about your situation so we can help*
What monthly amount feels comfortable for your family?*
Would you like to be involved in the school in any way? We always welcome a helping hand.
Questions or comments regarding the scholarship:
Parent Electronic Signature
*

I confirm that everything I've shared on this form is true and complete to the best of my knowledge.
*

I give Wilshire Hebrew School permission to verify the income and employment information provided on this form.
Type the first and last name of the parent completing this form, to be used as your electronic signature.*
First Name Last Name
I would like to receive news and updates by email
Should be Empty:

This page uses TLS encryption to keep your data secure.

Family Information