JEWISH VOCATIONAL SERVICE - JCFS
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Jewish Federation of Metropolitan Chicago
2020 – 2021 Application for
the Academic Scholarship PROGRAM
LEGAL DOMICILITY CERTIFICATION
I understand that scholarship funds administered by the Jewish Federation of Metropolitan Chicago are limited to students who are legally domiciled in Cook County, Illinois, and/or the Chicago metropolitan area. I present the following information to establish the area as my legal domicile:
|First Name: | |Last Name: | |
| | | | | |
|Place of Birth: | | | | | |
| |City | |County | |State |
|High School Attended: | | | | |
| | | | | | | | |
| | | |City | |County | |State |
And/Or
One continuous year, full-time employment prior to school in the Chicago metropolitan area:
|Name of Employer: | |
| | | | | | | | | | |
| |
| |
|Name of Employer: | |
| | | | | | | | | | |
| | | | |
(Handwritten)
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