Conference/Learning Program Funding Form

Funding requests are confidential.
Funding from Hillel is given by reimbursement only upon meeting the following requirements:
1. Submit receipts totalling at least the amount of the funding requested.
2. Submit 1-3 photos taken at the event.
3. Submit a letter addressed to St. Louis Hillel thanking our generous donors for the funding and detailing what the experience meant to you.
4. Have a follow-up meeting with a Hillel staff member to debrief your experience and discuss how you can bring back what you learned to the campus Jewish community.
Allow 2 weeks for processing once materials are submitted to receive your reimbursement check.

* First Name

* Last Name

* Class Year

* Phone Number

* Email Address

* Address to mail your reimbursement (can be a campus box #)

City

State

Zip Code

* Date of Conference/Program

* Conference/Learning Program you wish to attend

* Why do you wish to attend this conference/program?

EXPENSES

Registration

Travel

Lodging

* Total Expenses

INCOME

I will be receiving $

Funding From (additional source)

I can reasonably afford to spend

* Total amount requested from Hillel

Scanned copy of receipts to upload (You may also send your receipts to Denise Walsh at denise@stlouishillel.org, campus box 7461 or 6300 Forsyth Blvd., St. Louis, MO 63105)

Thank you letter to upload (You may also send your letter to Denise Walsh at denise@stlouishillel.org, campus box 7461 or 6300 Forsyth Blvd., St. Louis, MO 63105)

Photo to upload (You may also send your photos to Denise Walsh at denise@stlouishillel.org, campus box 7461 or 6300 Forsyth Blvd., St. Louis, MO 63105)

Funding is made possible thenks to the generous donors of the Golman Leadership Endowment for St. Louis Hillel.

* Indicates Response Required