Jewish Federation of New Hampshire
Irving and Bernice Singer
Israel Experience Grant Application

Send completed application to: Nancy Frankel, Israel Experience Grant Chair,
7 McAllister Road, Bedford, NH 03110 ( Phone (603) 472-3983.

Parent(s)/Guardian(s) Information:


Phone:___________________________ Email:_______________________________


City, State, Zip:________________________________________________________

Synagogue Affiliation:___________________________________________________

Student's Information:

First Name:______________________

Last Name:_________________________



High School Currently Attending:___________________________________________

_____ I am applying for the grant of $1000.

_____ I am applying for the grant of $1800. I have continued through 10th grade or completed the high school program at the following synagogue ____________________.

Trip Information:

Name of Israel Program:________________________________________________

Dates of Trip:_______________________________________

Name of Specific Trip:_________________________________________________

Name of Trip Provider:________________________________________________

Address of Trip Provider:______________________________________________

City, State, Zip:______________________________________________________

Contact Person

Phone Number

We understand that the grant will be sent directly to the trip provider when the statement is submitted to the JFNH.

We understand that our family must participate in the current JFNH Annual Campaign with a paid pledge of $100 or more.

We also understand the following Teen Expectations:

  • To submit an article for the NH Jewish Reporter upon their return
  • To share their experiences and promote this program by speaking at a New Hampshire Synagogue or teen event

Signature of Teen


Signature of Parent