Alisa Flatow Application Part 1

Alisa Flatow Memorial Scholarship Application

Part One
Please complete the form below.

If, at any time throughout the process, you need to save and continue later, click the "Save" button at the bottom of the page to receive a link to return to your application.

The Alisa Flatow Memorial Scholarship is a program of the Jewish Community Foundation of Greater MetroWest.

The scholarship is open to young women who:
- graduate high school by June 2025
- reside or attend school in the Greater MetroWest New Jersey catchment area
- intend to learn in a full-time program of religious study in Israel from August 2025 through June 2026. Acceptance to a program is not required in order to apply.
Completed applications are due by Tuesday, February 11, 2025.

Recommendation forms are due by Tuesday, February 25, 2025.

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
Email*

Confirmation EmailConfirm email address
Primary Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
My mailing address is the same as my primary address
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 parents
Date of Birth*

MonthDayYear
Date
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.
Parent / Guardian #1 Occupation
Parent / Guardian #1 primary address is the same as applicant's primary address
Parent / Guardian #1 Primary Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent / Guardian #1 mailing address is the same as Parent / Guardian #1 primary address
Parent / Guardian #1 Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I would like to include another Parent / Guardian in this application

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 (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
Should be Empty:

Alisa Flatow Memorial Scholarship Application

Applicant Information

Parent / Guardian Information

Reference Letter Requirements