The deadline for submission is Sunday, December 18, 2022 by 5:00 pm PST.
Jim Lewis, of blessed memory, was a strong supporter of his local community. Jim believed in philanthropy and creating meaningful legacies. The Jewish Community Foundation is honored to facilitate Jim’s wishes to support college-bound minority students as they pursue their dreams of higher education.

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Personal Information

Full Name(Required)
MM slash DD slash YYYY
Address(Required)
Do you identify as Jewish?(Required)
I identify as:(Required)

Family Information

Adjusted gross income is total gross income minus certain deductions. It can be found on your federal income tax return on form 1040 or 1040EZ.
Please describe any special circumstances pertaining to family income.
Please list and describe the number of dependents and family members that live in your home (including you).
Do you have any siblings in college? If so, where do they go to school and when will they graduate?

Academic Information

Please provide if your are taking advanced classes.

Extracurricular Activities and Awards

Please provide Activity Name, Organization, and Years of Participation for those that apply.