Women of Reform Judaism Mid-Atlantic District

Application for Convention Scholarship

October15-17, 2010

Applicant’s Name: ________________________

Applicant’s Address: _______________________________

______________________________

______________________________

Applicant’s Phone Number: _________________________

Applicant’s Email Address: __________________________

Name of Sisterhood: _________________________________

City and State of Sisterhood: ___________________________________

Position in Sisterhood: ________________________________________

This application for a Women of Reform Judaism Mid-Atlantic District

Convention Scholarship was approved by our Sisterhood Board on

_____________________________
(Date)

_______________________________________
(Sisterhood Secretary’s or President’s Name)

Our sisterhood is dues compliant with both WRJ and the District and
was not represented at the prior 2 District events.

Application deadline is September 10, 2010 either by email to:

midadistpres@yahoo.com
or sent with a postmark prior to September10th to:
Lynda Weinstein
8219 Maxine Circle
Pikesville, MD 21208