* First Name:
Middle Name:
* Last Name:
* Are you Jewish?:
*Are you a US Citizen or do you have lawful immigration status in the U.S?:
* In which of these communities do you live?:

Note: Contact JELF headquarters at (770) 396-3080
or by emailing application@jelf.org if you need help answering
this question.

* Marital Status:
*Dependent status:
NOTE: You are dependent if
your parent(s) claimed you as a
dependent on their 2019 tax return(s).
*Do you have any siblings?:
*Do you have any dependents?:
* Email:
Note: The email address that you enter here is the
one that JELF will use to contact you throughout the
application process and for loan award notification.
Be sure to check it regularly and to let JELF know if
your email address changes. Also be sure to add
@jelf.org to your safe sender list so JELF
emails don't end up in your SPAM folder.

* Confirm Email:
* Username:
* Password:
(at least 6 characters long)
* Re-enter Password:
* - Required Fields