Alex P. Kovalsky Special Needs Individual Scholarship

INDIVIDUAL APPLICATION

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* Name Of Applicant

* Name of Person Completing Application

Address

Phone Number

* Email Address

* Please describe the program that the applicant will participate in:

* Program Start Date

* Program Fees (Awards up tp $1500)

How will the applican benefit from attending this program?

Please describe the applicant's educational/work/social/living situation.

* Please provide program materials and links.

All Applications are due by December 15th. Verification of attendance will be required.

Sun, June 15 2025 19 Sivan 5785

B'nai Shalom of Olney · 18401 Burtfield Drive, Olney, MD 20832 · info@bnaishalomofolney.org · Phone: (301) 774-0879

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