Alisa Flatow Application Part 1

Alisa Flatow Memorial Scholarship Application

Part One
Thank you for your interest in the Alisa Flatow Memorial Scholarship, a program of the Jewish Community Foundation of Greater MetroWest. For an overview of the application process (including required essays), geographic qualifications, and additional guidelines, please visit our website HERE.

The scholarship is open to young women who:
- Graduate high school by June 2027
- Are connected to Jewish Federation of Greater MetroWest NJ catchment area through residence, school, and/or a parent working in a GMW partner agency. See map of Greater MetroWest NJ HERE.
- Intend to learn in a full-time program of religious study in Israel from August 2027 through June 2028. Acceptance to a program is not required in order to apply.
Completed applications are due by Monday, February 22, 2027.

Recommendation forms are due by Monday, March 8, 2027.

As the first step in the application process, please complete the form below to provide the following:
- your contact information
- contact information for your references*
*Please SAVE and do not submit until you've reached out to alert your references that they will be receiving a request for information. Once you submit Part 1, they will receive an automatic notification and further instructions.

You may continue to the second part of the application after you have submitted names and emails for your reference forms.

Questions? Contact Pam Greenwood, Fund Coordinator, at pgreenwood@jfedgmw.org or (973) 929-3005.
Applicant Information
Name

First NameLast Name
If you prefer a different name than what has been given, please enter it below
Email

Confirmation EmailConfirm email address
Primary Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Phone Number
Please note that all text message notifications may be sent to both applicant AND parentsFormat: (000) 000-0000.
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
I am connected to the Greater MetroWest NJ catchment area as follows:

Other
Parent / Guardian Information
Parent / Guardian #1 Name

First NameLast Name
Parent / Guardian #1 Email

Confirmation EmailConfirm email address
Parent / Guardian #1 Mobile Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent / Guardian #1 Occupation
Parent / Guardian #1 Primary Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent / Guardian #1 Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
- Parent / Guardian #2 Name
  
  First NameLast Name
- Parent / Guardian #2 Email
  
  Confirmation Emailexample@example.com
- Parent / Guardian #2 Mobile Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Parent / Guardian #2 Occupation
- Parent / Guardian #2 Primary Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Parent / Guardian #2 Mailing Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Reference Letter Requirements
- The first reference letter should be from a Day School Principal or Israel Guidance Counselor, Synagogue Rabbi or Youth Director, Jewish Camp Educator (senior administrative level), or the director of another Jewish Communal Initiative who has knowledge of your attachments to Jewish life and learning.
- Reference #1 Name
- Reference #1 Email
  
  Confirmation EmailConfirm email address
- Reference #1 Connection to You
- A second reference letter should be from a teacher of Jewish studies who has knowledge of your attachments to Jewish life and learning. (For those not currently enrolled in a regular study program, you may select from any of the other options offered above or submit a character reference.)
- Reference #2 Name
- Reference #2 Email
  
  Confirmation EmailConfirm email address
- Reference #2 Connection to You
- You may include a character reference from any individual who is not related to you.
- Optional Reference #3 Name
- Optional Reference #3 Email
  
  Confirmation EmailConfirm email address
- Alisa Flatow Application Part 2 will be sent via email once Part 1 is submitted. Part 2 of the application includes 2 essays and is due by February 22, 2027.
- Should be Empty:

Alisa Flatow Memorial Scholarship Application

Applicant Information

Parent / Guardian Information

Reference Letter Requirements