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Living Legacy Pilgrimage Scholarship Application

Please complete the following application as fully as possible. Scholarship decisions will be based on the information provided in this application.

Note: scholarship awards apply to double-occupancy only. If you do not have someone you can room with, one can be assigned to you.  

The deadline for receipt of scholarship applications for the January 12-19, 2020, Living Legacy Pilgrimage: The Jewish Experience in the Civil Rights Movement, is October 15, 2019. Following notification of grant awards, registration and the balance of fees is due by November 15, 2019. 

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First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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More about you
As we're making decision about scholarships, it's helpful to know a little about you.

(mm/dd/yyyy)
Select as many racial/ethnic identity(ies) you claim. Choose other if your race/ethnicity is not listed and tell us more in the box below..

Include whatever additional information you'd like about your race/ethnicity.

This is the most important question on the entire form. Please answer it thoughtfully and thoroughly. You have as much space as you need, but try to be succinct.
Request

The Living Legacy Project has limited funds available for scholarships. All scholarship recipients are asked to pay as much toward the trip as they can possible afford, including raising money from others to contribute to the experience. At a minimum, everyone is asked to pay at least $50. 


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How much of the $1,696 registration fee and/or expenses are you applying for? Check all that apply.

Enter the amount you are requesting.
Additional assistance

Is it possible that you might be able to receive additional financial support to attend this Pilgrimage from other sources, such as family, friends, your faith community, an on-line appeal, or other fund-raising effort? 


Previous Scholarship Assistance
Have you previously received scholarship assistance from the Living Legacy Project?

Reference

Please provide contact information for someone who can provide a personal reference. 


First Name
Last Name


Thank you!

Thank you for your interest in the Living Legacy Pilgrimage! We will be in touch with you as soon as possible with information about your application for a scholarship.