{"id":2668,"date":"2021-10-19T10:55:34","date_gmt":"2021-10-19T14:55:34","guid":{"rendered":"https:\/\/pajewishendowment.org\/en\/?page_id=2668"},"modified":"2021-10-19T10:55:34","modified_gmt":"2021-10-19T14:55:34","slug":"online-application-form","status":"publish","type":"page","link":"https:\/\/pajewishendowment.org\/en\/online-application-form\/","title":{"rendered":"Online application form"},"content":{"rendered":"<div class=\"caldera-grid\" id=\"caldera_form_1\" data-cf-ver=\"1.9.7\" data-cf-form-id=\"CF5b71cefa697b9\"><div id=\"caldera_notices_1\" data-spinner=\"https:\/\/pajewishendowment.org\/wp-admin\/images\/spinner.gif\"><\/div><form data-instance=\"1\" class=\"CF5b71cefa697b9 caldera_forms_form cfajax-trigger\" method=\"POST\" enctype=\"multipart\/form-data\" id=\"CF5b71cefa697b9_1\" data-form-id=\"CF5b71cefa697b9\" aria-label=\"MARCH OF THE LIVING SCHOLARSHIP APPLICATION\" data-target=\"#caldera_notices_1\" data-template=\"#cfajax_CF5b71cefa697b9-tmpl\" data-cfajax=\"CF5b71cefa697b9\" data-load-element=\"_parent\" data-load-class=\"cf_processing\" data-post-disable=\"0\" data-action=\"cf_process_ajax_submit\" data-request=\"https:\/\/pajewishendowment.org\/en\/cf-api\/CF5b71cefa697b9\" data-hiderows=\"true\">\r\n<input type=\"hidden\" id=\"_cf_verify_CF5b71cefa697b9\" name=\"_cf_verify\" value=\"146b91f4c2\"  data-nonce-time=\"1778821900\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/2668\" \/><div id=\"cf2-CF5b71cefa697b9_1\"><\/div><input type=\"hidden\" name=\"_cf_frm_id\" value=\"CF5b71cefa697b9\">\r\n<input type=\"hidden\" name=\"_cf_frm_ct\" value=\"1\">\r\n<input type=\"hidden\" name=\"cfajax\" value=\"CF5b71cefa697b9\">\r\n<input type=\"hidden\" name=\"_cf_cr_pst\" value=\"2668\">\r\n<div class=\"hide\" style=\"display:none; overflow:hidden;height:0;width:0;\">\r\n<label>Twitter<\/label><input type=\"text\" name=\"twitter\" value=\"\" autocomplete=\"off\">\r\n<\/div><div id=\"form_page_1_pg_1\" data-formpage=\"1\" class=\"caldera-form-page\" style=\"display:block;\" role=\"region\" aria-labelledby=\"breadcrumb_1_pg_1\" aria-hidden=\"false\"><div id=\"CF5b71cefa697b9_1-row-1\"  class=\"row  first_row\"><div  class=\"col-sm-12  single\"><div class=\"\"><h2>MARCH OF THE LIVING SCHOLARSHIP APPLICATION DETAILS <\/h2>\n<hr>\n<\/div><\/div><\/div><div id=\"CF5b71cefa697b9_1-row-2\"  class=\"row \"><div  class=\"col-sm-4  first_col\"><div data-field-wrapper=\"fld_8768091\" class=\"form-group\" id=\"fld_8768091_1-wrap\">\r\n\t<label id=\"fld_8768091Label\" for=\"fld_8768091_1\" class=\"control-label\">First Name <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_8768091\" class=\" form-control\" id=\"fld_8768091_1\" name=\"fld_8768091\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_8768091Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_4827128\" class=\"form-group\" id=\"fld_4827128_1-wrap\">\r\n\t<label id=\"fld_4827128Label\" for=\"fld_4827128_1\" class=\"control-label\">Street Address <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_4827128\" class=\" form-control\" id=\"fld_4827128_1\" name=\"fld_4827128\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_4827128Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_7127901\" class=\"form-group\" id=\"fld_7127901_1-wrap\">\r\n\t<label id=\"fld_7127901Label\" for=\"fld_7127901_1\" class=\"control-label\">State \/ Province \/ Region <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_7127901\" class=\" form-control\" id=\"fld_7127901_1\" name=\"fld_7127901\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_7127901Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9865077\" class=\"form-group\" id=\"fld_9865077_1-wrap\">\r\n\t<label id=\"fld_9865077Label\" for=\"fld_9865077_1\" class=\"control-label\">Home Phone<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"tel\" data-field=\"fld_9865077\" class=\" form-control\" id=\"fld_9865077_1\" name=\"fld_9865077\" value=\"\" data-type=\"phone_better\"   aria-labelledby=\"fld_9865077Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4 \"><div data-field-wrapper=\"fld_9970286\" class=\"form-group\" id=\"fld_9970286_1-wrap\">\r\n\t<label id=\"fld_9970286Label\" for=\"fld_9970286_1\" class=\"control-label\">Last Name <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_9970286\" class=\" form-control\" id=\"fld_9970286_1\" name=\"fld_9970286\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_9970286Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_6616727\" class=\"form-group\" id=\"fld_6616727_1-wrap\">\r\n\t<label id=\"fld_6616727Label\" for=\"fld_6616727_1\" class=\"control-label\">Address line 2<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_6616727\" class=\" form-control\" id=\"fld_6616727_1\" name=\"fld_6616727\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_6616727Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_3735404\" class=\"form-group\" id=\"fld_3735404_1-wrap\">\r\n\t<label id=\"fld_3735404Label\" for=\"fld_3735404_1\" class=\"control-label\">Postal \/ Zip Code <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_3735404\" class=\" form-control\" id=\"fld_3735404_1\" name=\"fld_3735404\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_3735404Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_3762663\" class=\"form-group\" id=\"fld_3762663_1-wrap\">\r\n\t<label id=\"fld_3762663Label\" for=\"fld_3762663_1\" class=\"control-label\">Cell Phone<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"tel\" data-field=\"fld_3762663\" class=\" form-control\" id=\"fld_3762663_1\" name=\"fld_3762663\" value=\"\" data-type=\"phone_better\"   aria-labelledby=\"fld_3762663Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4  last_col\"><div data-field-wrapper=\"fld_6009157\" class=\"form-group\" id=\"fld_6009157_1-wrap\">\r\n\t<label id=\"fld_6009157Label\" for=\"fld_6009157_1\" class=\"control-label\">Email Address <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"email\" data-field=\"fld_6009157\" class=\" form-control\" id=\"fld_6009157_1\" name=\"fld_6009157\" value=\"\" data-type=\"email\" aria-required=\"true\"   aria-labelledby=\"fld_6009157Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_6100938\" class=\"form-group\" id=\"fld_6100938_1-wrap\">\r\n\t<label id=\"fld_6100938Label\" for=\"fld_6100938_1\" class=\"control-label\">City <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_6100938\" class=\" form-control\" id=\"fld_6100938_1\" name=\"fld_6100938\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_6100938Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_3655244\" class=\"form-group\" id=\"fld_3655244_1-wrap\">\r\n\t<label id=\"fld_3655244Label\" for=\"fld_3655244_1\" class=\"control-label\">Country \/ Region <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_3655244\" class=\" form-control\" id=\"fld_3655244_1\" name=\"fld_3655244\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_3655244Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5b71cefa697b9_1-row-3\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_2758980\" class=\"form-group\" id=\"fld_2758980_1-wrap\">\r\n\t<label id=\"fld_2758980Label\" for=\"fld_2758980_1\" class=\"control-label\">Parent(s)' Name <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_2758980\" class=\" form-control\" id=\"fld_2758980_1\" name=\"fld_2758980\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_2758980Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9962383\" class=\"form-group\" id=\"fld_9962383_1-wrap\">\r\n\t<label id=\"fld_9962383Label\" for=\"fld_9962383_1\" class=\"control-label\">Parent(s) Address Line 2<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_9962383\" class=\" form-control\" id=\"fld_9962383_1\" name=\"fld_9962383\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9962383Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_7780058\" class=\"form-group\" id=\"fld_7780058_1-wrap\">\r\n\t<label id=\"fld_7780058Label\" for=\"fld_7780058_1\" class=\"control-label\">Parent(s) State \/ Province \/ Region <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_7780058\" class=\" form-control\" id=\"fld_7780058_1\" name=\"fld_7780058\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_7780058Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_1664118\" class=\"form-group\" id=\"fld_1664118_1-wrap\">\r\n\t<label id=\"fld_1664118Label\" for=\"fld_1664118_1\" class=\"control-label\">Parent(s) Country \/ Region <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_1664118\" class=\" form-control\" id=\"fld_1664118_1\" name=\"fld_1664118\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_1664118Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_654635\" class=\"form-group\" id=\"fld_654635_1-wrap\">\r\n\t<label id=\"fld_654635Label\" for=\"fld_654635_1\" class=\"control-label\">Parent(s)' Daytime Phone<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"tel\" data-field=\"fld_654635\" class=\" form-control\" id=\"fld_654635_1\" name=\"fld_654635\" value=\"\" data-type=\"phone_better\"   aria-labelledby=\"fld_654635Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_2808794\" class=\"form-group\" id=\"fld_2808794_1-wrap\">\r\n\t<label id=\"fld_2808794Label\" for=\"fld_2808794_1\" class=\"control-label\">Synagogue affiliation:<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_2808794\" class=\" form-control\" id=\"fld_2808794_1\" name=\"fld_2808794\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2808794Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_7595566\" class=\"form-group\" id=\"fld_7595566_1-wrap\">\r\n\t<label id=\"fld_7595566Label\" for=\"fld_7595566_1\" class=\"control-label\">Do you currently attend Harrisburg Hebrew High School?<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7595566_1_opt1910484\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Yes\"\n                                data-field=\"fld_7595566\"\n                                id=\"fld_7595566_1_opt1910484\"\n                                class=\"fld_7595566_1\"\n                                name=\"fld_7595566[opt1910484]\"\n                                value=\"Yes\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7595566_1\"\n                                                                data-calc-value=\"Yes\"\n                            >\n                    Yes                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7595566_1_opt1425333\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"No\"\n                                data-field=\"fld_7595566\"\n                                id=\"fld_7595566_1_opt1425333\"\n                                class=\"fld_7595566_1\"\n                                name=\"fld_7595566[opt1425333]\"\n                                value=\"No\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7595566_1\"\n                                                                data-calc-value=\"No\"\n                            >\n                    No                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_8266469\" class=\"form-group\" id=\"fld_8266469_1-wrap\">\r\n\t<label id=\"fld_8266469Label\" for=\"fld_8266469_1\" class=\"control-label\">Parent(s)' Street Address (if different) <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_8266469\" class=\" form-control\" id=\"fld_8266469_1\" name=\"fld_8266469\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_8266469Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_5519938\" class=\"form-group\" id=\"fld_5519938_1-wrap\">\r\n\t<label id=\"fld_5519938Label\" for=\"fld_5519938_1\" class=\"control-label\">Parent(s) City <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_5519938\" class=\" form-control\" id=\"fld_5519938_1\" name=\"fld_5519938\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_5519938Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_1766410\" class=\"form-group\" id=\"fld_1766410_1-wrap\">\r\n\t<label id=\"fld_1766410Label\" for=\"fld_1766410_1\" class=\"control-label\">Parent(s) Postal \/ Zip Code <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_1766410\" class=\" form-control\" id=\"fld_1766410_1\" name=\"fld_1766410\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_1766410Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5b71cefa697b9_1-row-4\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_7683514\" class=\"form-group\" id=\"fld_7683514_1-wrap\">\r\n\t<label id=\"fld_7683514Label\" for=\"fld_7683514_1\" class=\"control-label\">\u2022 What is your background in Jewish education? Provide a brief description of your formal Jewish Education.<\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_7683514\" value=\"\" data-field=\"fld_7683514\" class=\"form-control\" id=\"fld_7683514_1\" rows=\"7\"    aria-labelledby=\"fld_7683514Label\" ><\/textarea>\n\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_7447078\" class=\"form-group\" id=\"fld_7447078_1-wrap\">\r\n\t<label id=\"fld_7447078Label\" for=\"fld_7447078_1\" class=\"control-label\">\u2022 Detail other extra-curricular activities, volunteerism, part-time jobs you may have held or hold, other community engagement, services you provide or have provided to a nonprofit, your family members, your synagogue, the community, etc.<\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_7447078\" value=\"\" data-field=\"fld_7447078\" class=\"form-control\" id=\"fld_7447078_1\" rows=\"7\"    aria-labelledby=\"fld_7447078Label\" ><\/textarea>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5b71cefa697b9_1-row-5\"  class=\"row \"><div  class=\"col-sm-12  first_col\"><div data-field-wrapper=\"fld_8955608\" class=\"form-group\" id=\"fld_8955608_1-wrap\">\r\n<div class=\"\">\r\n\t<input  class=\"btn btn-default cf-page-btn cf-page-btn-next\" type=\"button\" name=\"fld_8955608\" id=\"fld_8955608_1\" value=\"Next Page 2\" data-field=\"fld_8955608\" data-page=\"next\"  >\n<\/div>\r\n<\/div>\r\n\t<input class=\"button_trigger_1\" type=\"hidden\" name=\"fld_8955608\" id=\"fld_8955608_1_btn\" value=\"\" data-field=\"fld_8955608\"  \/>\n<\/div><\/div><\/div><div id=\"form_page_1_pg_2\" data-formpage=\"2\" role=\"region\" aria-labelledby=\"breadcrumb_1_pg_2\" aria-hidden=\"true\" class=\"caldera-form-page\" style=\"display:none;\"><div id=\"CF5b71cefa697b9_1-row-6\"  class=\"row \"><div  class=\"col-sm-12  single\"><div class=\"\"><h3>TRIP INFORMATION<\/h3>\n<p>Please complete the following information regarding the sponsoring organization (Ex: BBYO and or others that may be providing you with a stipend or scholarship) and specific costs for the trip.<\/p>\n<hr>\n<\/div><\/div><\/div><div id=\"CF5b71cefa697b9_1-row-7\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_2358807\" class=\"form-group\" id=\"fld_2358807_1-wrap\">\r\n\t<label id=\"fld_2358807Label\" for=\"fld_2358807_1\" class=\"control-label\">\u2022 Name of organization sponsoring the trip: <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_2358807\" class=\" form-control\" id=\"fld_2358807_1\" name=\"fld_2358807\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_2358807Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5b71cefa697b9_1-row-8\"  class=\"row \"><div  class=\"col-sm-12  single\">\n<div data-field-wrapper=\"fld_1471309\" class=\"form-group\" id=\"fld_1471309_1-wrap\">\r\n\t<label id=\"fld_1471309Label\" for=\"fld_1471309_1\" class=\"control-label\">Departure Date<\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\" data-provide=\"cfdatepicker\" name=\"fld_1471309\" value=\"\" id=\"fld_1471309_1\" data-field=\"fld_1471309\" class=\"form-control cfdatepicker is-cfdatepicker\" data-date-format=\"yyyy-mm-dd\" data-date-start-view=\"year\" data-date-autoclose=\"true\"   aria-labelledby=\"fld_1471309Label\"   \/>\n\t\t\t<\/div>\r\n<\/div>\r\n\n<div data-field-wrapper=\"fld_53249\" class=\"form-group\" id=\"fld_53249_1-wrap\">\r\n\t<label id=\"fld_53249Label\" for=\"fld_53249_1\" class=\"control-label\">Return Date<\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\" data-provide=\"cfdatepicker\" name=\"fld_53249\" value=\"\" id=\"fld_53249_1\" data-field=\"fld_53249\" class=\"form-control cfdatepicker is-cfdatepicker\" data-date-format=\"yyyy-mm-dd\" data-date-start-view=\"year\" data-date-autoclose=\"true\"   aria-labelledby=\"fld_53249Label\"   \/>\n\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9226230\" class=\"form-group\" id=\"fld_9226230_1-wrap\">\r\n\t<label id=\"fld_9226230Label\" for=\"fld_9226230_1\" class=\"control-label\">Cost of trip <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_9226230\" class=\" form-control\" id=\"fld_9226230_1\" name=\"fld_9226230\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_9226230Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_8366297\" class=\"form-group\" id=\"fld_8366297_1-wrap\">\r\n\t<label id=\"fld_8366297Label\" for=\"fld_8366297_1\" class=\"control-label\">Is this inclusive (transportation, meals, lodging)?<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_8366297_1_opt1244711\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Yes\"\n                                data-field=\"fld_8366297\"\n                                id=\"fld_8366297_1_opt1244711\"\n                                class=\"fld_8366297_1\"\n                                name=\"fld_8366297[opt1244711]\"\n                                value=\"Yes\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_8366297_1\"\n                                                                data-calc-value=\"Yes\"\n                            >\n                    Yes                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_8366297_1_opt1672016\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"No\"\n                                data-field=\"fld_8366297\"\n                                id=\"fld_8366297_1_opt1672016\"\n                                class=\"fld_8366297_1\"\n                                name=\"fld_8366297[opt1672016]\"\n                                value=\"No\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_8366297_1\"\n                                                                data-calc-value=\"No\"\n                            >\n                    No                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_7395398\" class=\"form-group\" id=\"fld_7395398_1-wrap\">\r\n\t<label id=\"fld_7395398Label\" for=\"fld_7395398_1\" class=\"control-label\">Have you already applied?<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7395398_1_opt1783577\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Yes\"\n                                data-field=\"fld_7395398\"\n                                id=\"fld_7395398_1_opt1783577\"\n                                class=\"fld_7395398_1\"\n                                name=\"fld_7395398[opt1783577]\"\n                                value=\"Yes\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7395398_1\"\n                                                                data-calc-value=\"Yes\"\n                            >\n                    Yes                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7395398_1_opt1736719\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"No\"\n                                data-field=\"fld_7395398\"\n                                id=\"fld_7395398_1_opt1736719\"\n                                class=\"fld_7395398_1\"\n                                name=\"fld_7395398[opt1736719]\"\n                                value=\"No\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7395398_1\"\n                                                                data-calc-value=\"No\"\n                            >\n                    No                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_8012130\" class=\"form-group\" id=\"fld_8012130_1-wrap\">\r\n\t<label id=\"fld_8012130Label\" for=\"fld_8012130_1\" class=\"control-label\">Have you been accepted?<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_8012130_1_opt1788633\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Yes\"\n                                data-field=\"fld_8012130\"\n                                id=\"fld_8012130_1_opt1788633\"\n                                class=\"fld_8012130_1\"\n                                name=\"fld_8012130[opt1788633]\"\n                                value=\"Yes\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_8012130_1\"\n                                                                data-calc-value=\"Yes\"\n                            >\n                    Yes                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_8012130_1_opt1912738\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"No\"\n                                data-field=\"fld_8012130\"\n                                id=\"fld_8012130_1_opt1912738\"\n                                class=\"fld_8012130_1\"\n                                name=\"fld_8012130[opt1912738]\"\n                                value=\"No\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_8012130_1\"\n                                                                data-calc-value=\"No\"\n                            >\n                    No                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_2834873\" class=\"form-group\" id=\"fld_2834873_1-wrap\">\r\n\t<label id=\"fld_2834873Label\" for=\"fld_2834873_1\" class=\"control-label\">Is this your first trip to Israel?<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_2834873_1_opt1784117\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Yes\"\n                                data-field=\"fld_2834873\"\n                                id=\"fld_2834873_1_opt1784117\"\n                                class=\"fld_2834873_1\"\n                                name=\"fld_2834873[opt1784117]\"\n                                value=\"Yes\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_2834873_1\"\n                                                                data-calc-value=\"Yes\"\n                            >\n                    Yes                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_2834873_1_opt1818443\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"No\"\n                                data-field=\"fld_2834873\"\n                                id=\"fld_2834873_1_opt1818443\"\n                                class=\"fld_2834873_1\"\n                                name=\"fld_2834873[opt1818443]\"\n                                value=\"No\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_2834873_1\"\n                                                                data-calc-value=\"No\"\n                            >\n                    No                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5b71cefa697b9_1-row-9\"  class=\"row \"><div  class=\"col-sm-12  single\"><div class=\"\"><h3>FINANCIAL INFORMATION<\/h3>\n<p>Please itemize your income and expenses for the trip. For income, please include any other scholarships for which you have applied, indicating which have already been awarded and those that are still pending. For expenses, please include travel, board, books, spending money, insurance fees, etc.<\/p>\n<\/div><div data-field-wrapper=\"fld_1704327\" class=\"form-group\" id=\"fld_1704327_1-wrap\">\r\n\t<label id=\"fld_1704327Label\" for=\"fld_1704327_1\" class=\"control-label\">$ Personal Resources \/ Dollars<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_1704327\" class=\" form-control\" id=\"fld_1704327_1\" name=\"fld_1704327\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_1704327Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_7703040\" class=\"form-group\" id=\"fld_7703040_1-wrap\">\r\n\t<label id=\"fld_7703040Label\" for=\"fld_7703040_1\" class=\"control-label\">$ Travel \/ Dollars<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_7703040\" class=\" form-control\" id=\"fld_7703040_1\" name=\"fld_7703040\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_7703040Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_287303\" class=\"form-group\" id=\"fld_287303_1-wrap\">\r\n\t<label id=\"fld_287303Label\" for=\"fld_287303_1\" class=\"control-label\">$ Parents or family \/ Dollars<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_287303\" class=\" form-control\" id=\"fld_287303_1\" name=\"fld_287303\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_287303Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9349725\" class=\"form-group\" id=\"fld_9349725_1-wrap\">\r\n\t<label id=\"fld_9349725Label\" for=\"fld_9349725_1\" class=\"control-label\">$ Board \/ Dollars<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_9349725\" class=\" form-control\" id=\"fld_9349725_1\" name=\"fld_9349725\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9349725Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_1754728\" class=\"form-group\" id=\"fld_1754728_1-wrap\">\r\n\t<label id=\"fld_1754728Label\" for=\"fld_1754728_1\" class=\"control-label\">$ Synagogue (if applicable)\/ Dollars<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_1754728\" class=\" form-control\" id=\"fld_1754728_1\" name=\"fld_1754728\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_1754728Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_5037809\" class=\"form-group\" id=\"fld_5037809_1-wrap\">\r\n\t<label id=\"fld_5037809Label\" for=\"fld_5037809_1\" class=\"control-label\">$ Insurance fees \/ Dollars<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_5037809\" class=\" form-control\" id=\"fld_5037809_1\" name=\"fld_5037809\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_5037809Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_7021952\" class=\"form-group\" id=\"fld_7021952_1-wrap\">\r\n\t<label id=\"fld_7021952Label\" for=\"fld_7021952_1\" class=\"control-label\">$ Other Income \/ Dollars<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_7021952\" class=\" form-control\" id=\"fld_7021952_1\" name=\"fld_7021952\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_7021952Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_1993818\" class=\"form-group\" id=\"fld_1993818_1-wrap\">\r\n\t<label id=\"fld_1993818Label\" for=\"fld_1993818_1\" class=\"control-label\">$ Total Expenses \/ Dollars<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_1993818\" class=\" form-control\" id=\"fld_1993818_1\" name=\"fld_1993818\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_1993818Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_5213819\" class=\"form-group\" id=\"fld_5213819_1-wrap\">\r\n\t<label id=\"fld_5213819Label\" for=\"fld_5213819_1\" class=\"control-label\">$ Amount of funding you are requesting: \/ Dollars<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_5213819\" class=\" form-control\" id=\"fld_5213819_1\" name=\"fld_5213819\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_5213819Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5b71cefa697b9_1-row-10\"  class=\"row \"><div  class=\"col-sm-12  single\"><div class=\"\"><p>\u2022\tThis grant process is needs based.  This means that those who demonstrate the greatest need for a scholarship will be given consideration so that they may have the opportunity to participate on the March of the Living trip.<\/p>\n<p>\u2022\tPlease describe any extenuating circumstances that the committee should consider in evaluating your application (for example: parent's loss of a job or other financial or personal family challenges or hardships that make it difficult to afford to attend the March of the Living trip).<\/p>\n<h3>Please upload your personal statement. <\/h3>\n<p>\u2022\t\tAnswers may be very brief and in one sentence as long as you answer each question.  <\/p>\n<p>\u2022\tPlease keep your total statement to 500 words or less.<\/p>\n<\/div><div data-field-wrapper=\"fld_9335933\" class=\"form-group\" id=\"fld_9335933_1-wrap\">\r\n\t<label id=\"fld_9335933Label\" for=\"fld_9335933_1\" class=\"control-label\">PERSONAL STATEMENT<\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_9335933\" value=\"\" data-field=\"fld_9335933\" class=\"form-control\" id=\"fld_9335933_1\" rows=\"4\"    aria-labelledby=\"fld_9335933Label\" ><\/textarea>\n\t\t\t<\/div>\r\n<\/div>\r\n<div class=\"\"><h3>Your personal statement must answer the following questions:<\/h3>\n<p>(1) Why do you want to participate on the March of the Living and travel to Israel?  <\/p>\n<p>(2) What do you expect to gain from your trip? <\/p>\n<p>(3) What extra-curricular activities in the Jewish and general communities do you participate in and what leadership roles, if any, have you assumed in relation to these activities? <\/p>\n<p>(4) What impact (if any) has your participation in these activities had on you and the organization? <\/p>\n<p>(5) How would you hope to benefit the Jewish community on your return from the March of the Living and Israel experience? <\/p>\n<p>(6) What do you intend to do when you return from the trip to help others understand the lessons of the Holocaust and other important experiences you had on the trip? <\/p>\n<p>(7) Please include a statement of your agreement to in some way (Examples: written or oral presentation to your class, a senior group, your synagogue, a paragraph for the Community Review, Kol Central PA, Facebook, or in another media or venue ) share a brief story and perhaps photos of your experience on the trip. <\/p>\n<p>(8) Who in your life has influenced your desire to participate on this trip to Poland and Israel?<\/p>\n<hr>\n<\/div><div class=\"\"><p>I understand all materials are confidential. They will remain the property of JCF and cannot be returned.<\/p>\n<p>I understand that I am not eligible to be considered for an award if my application is incomplete.<\/p>\n<p>I understand that the information I disclose in this application will determine my eligibility for an award and may be shared with members of the committee for award selection.<\/p>\n<p>I understand that all awards are subject to the JCF of CP Gesher L\u2019Machar \u2013 March of the Living Fund policies of JCF. These policies are available for review upon request.<\/p>\n<p>I certify that all information provided is complete and accurate to the best of my knowledge. If requested, I agree to furnish proof of the information I have submitted.<\/p>\n<hr>\n<\/div><div data-field-wrapper=\"fld_4297451\" class=\"form-group\" id=\"fld_4297451_1-wrap\">\r\n\t<label id=\"fld_4297451Label\" for=\"fld_4297451_1\" class=\"control-label\">Signature (Type Name) <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_4297451\" class=\" form-control\" id=\"fld_4297451_1\" name=\"fld_4297451\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_4297451Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div id=\"cf2-fld_8716447_1\" class=\"cf2-field-wrapper\" data-field-id=\"fld_8716447_1\"><\/div><\/div><\/div><div id=\"CF5b71cefa697b9_1-row-11\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_7860506\" class=\"form-group\" id=\"fld_7860506_1-wrap\">\r\n<div class=\"\">\r\n\t<input  class=\"btn btn-default\" type=\"submit\" name=\"fld_7860506\" id=\"fld_7860506_1\" value=\"Submit\" data-field=\"fld_7860506\"  >\n<\/div>\r\n<\/div>\r\n\t<input class=\"button_trigger_1\" type=\"hidden\" name=\"fld_7860506\" id=\"fld_7860506_1_btn\" value=\"\" data-field=\"fld_7860506\"  \/>\n<\/div><\/div><div id=\"CF5b71cefa697b9_1-row-12\"  class=\"row  last_row\"><div  class=\"col-sm-12  first_col\"><\/div><\/div><\/div><\/form>\r\n<\/div>\r\n\n<div class=\"caldera-grid\" id=\"caldera_form_2\" data-cf-ver=\"1.9.7\" data-cf-form-id=\"CF5b71cd503f00c\"><div id=\"caldera_notices_2\" data-spinner=\"https:\/\/pajewishendowment.org\/wp-admin\/images\/spinner.gif\"><\/div><form data-instance=\"2\" class=\"CF5b71cd503f00c caldera_forms_form cfajax-trigger\" method=\"POST\" enctype=\"multipart\/form-data\" id=\"CF5b71cd503f00c_2\" data-form-id=\"CF5b71cd503f00c\" aria-label=\"Gesher L&rsquo;Machar\" data-target=\"#caldera_notices_2\" data-template=\"#cfajax_CF5b71cd503f00c-tmpl\" data-cfajax=\"CF5b71cd503f00c\" data-load-element=\"_parent\" data-load-class=\"cf_processing\" data-post-disable=\"0\" data-action=\"cf_process_ajax_submit\" data-request=\"https:\/\/pajewishendowment.org\/en\/cf-api\/CF5b71cd503f00c\" data-hiderows=\"true\">\r\n<input type=\"hidden\" id=\"_cf_verify_CF5b71cd503f00c\" name=\"_cf_verify\" value=\"3e33dd7815\"  data-nonce-time=\"1778821900\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/2668\" \/><div id=\"cf2-CF5b71cd503f00c_2\"><\/div><input type=\"hidden\" name=\"_cf_frm_id\" value=\"CF5b71cd503f00c\">\r\n<input type=\"hidden\" name=\"_cf_frm_ct\" value=\"2\">\r\n<input type=\"hidden\" name=\"cfajax\" value=\"CF5b71cd503f00c\">\r\n<input type=\"hidden\" name=\"_cf_cr_pst\" value=\"2668\">\r\n<div class=\"hide\" style=\"display:none; overflow:hidden;height:0;width:0;\">\r\n<label>Email<\/label><input type=\"text\" name=\"email\" value=\"\" autocomplete=\"off\">\r\n<\/div><div id=\"CF5b71cd503f00c_2-row-1\"  class=\"row  single\"><div  class=\"col-sm-0  single\"><\/div><\/div><\/form>\r\n<\/div>\r\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/pajewishendowment.org\/en\/wp-json\/wp\/v2\/pages\/2668"}],"collection":[{"href":"https:\/\/pajewishendowment.org\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pajewishendowment.org\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pajewishendowment.org\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/pajewishendowment.org\/en\/wp-json\/wp\/v2\/comments?post=2668"}],"version-history":[{"count":3,"href":"https:\/\/pajewishendowment.org\/en\/wp-json\/wp\/v2\/pages\/2668\/revisions"}],"predecessor-version":[{"id":2672,"href":"https:\/\/pajewishendowment.org\/en\/wp-json\/wp\/v2\/pages\/2668\/revisions\/2672"}],"wp:attachment":[{"href":"https:\/\/pajewishendowment.org\/en\/wp-json\/wp\/v2\/media?parent=2668"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}