Stolzer Family Fund for Children with Special Needs

2021 Special Needs Summer Camp Scholarship Application

The Jewish Federation in the Heart of New Jersey helps enable as many Jewish youth as possible to have meaningful Jewish experiences. Scholarships for kids with special needs are available for caretakers of youth who demonstrate need.  Federation will award “last dollar” scholarships, considering both the family’s income and other scholarship awards received.

Eligibility Requirements

  1. Applicant must be a Jewish resident of Greater Middlesex or Monmouth County. 
  2. Applicant(s) must be classified as special needs and attend a camp that can accommodate their needs through specialized programming and/or assistance. 
  3. Families with a gross annual income up to $175,000 are eligible to apply. Single parents and families with more than one child with special needs will receive special consideration. 
  4. We must receive your application no later than April 15, 2021 for it to be considered.  If a scholarship is awarded, payment is made directly to the program provider.  
  5. All questions in the application must be answered/addressed in order to be considered for a scholarship


Complete the application and upload a copy of your 2020 (if available) or 2019 IRS Form 1040

(with all schedules and attachments, i.e. Forms 2441, 8889, etc.) and send to:

Please note:  All scholarship applications are handled with extreme confidence and the

information is used only to make scholarship decisions

.

Family Information

Mother/Guardian #1

Father/Guardian #2

Names and Ages of Siblings:

Sibling #1

Sibling #2

Sibling #3

If the camper’s parents or siblings are presently attending a college or university, please supply the following information: 

Grandparent Information

Camp Information

Complete Mailing Address of Camp or Sponsoring Organization:

Camp Tuition and Registration:

Please provide length of session and full tuition and fees, prior to any subsidies and scholarships.  

The Federation may contact the camp. Please sign below authorizing the camp to release this information to the Federation.

*Scholarship award amounts include camp tuition fees only. The cost of equipment, canteens, transportation or other additional fees are the responsibility of the family and will not be considered when determining the scholarship award amount.

Your Child’s Special Needs

Interests and Activities

Financial Information

The completion of this section is mandatory.  Incomplete applications will not be considered.

[Remember to submit your tax returns. If parents file separately, both must submit their returns.]

Please list your annual salary as of January 1, 2021:

2020/2019 Income (Remember to submit your tax returns based on which IRS Form 1040 you submit)

Please make sure you have done the following:

All information is kept in complete confidence. We certify that to the best of our knowledge and belief that the information contained is correct and accurate.  Moreover, we give permission to the Jewish Federation to receive information from the camp(s) regarding the total amount of grant money received from other sources for our children and the total amount of tuition paid for by the parents and/or other individuals. This also serves as permission for The Federation to contact the camp.

All information stated in this application is, to the best of my knowledge, accurate and complete.

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