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Jewish Teen Foundations Application 2018-2019

*Required fields

Part 1: Your Information

To which of the Jewish Teen Foundations are you applying? *

South Peninsula (Menlo Park through Mountain View)

North Peninsula (Daly City through Redwood City)

Marin/San Francisco (San Francisco through Sonoma)

How did you hear about Jewish Teen Foundations? (Check all that apply) *

I received a postcard in the mail

I saw a poster at my synagogue/school/JCC

I know someone who has participated in the program

I saw a post on Facebook

Other (please explain below)

If you selected "other" above, please explain:

First Name *

Last Name *

Preferred/Nickname

Email *

Home Phone Number *

Mobile Phone Number *

Street Address (Home) *

City *

Zip Code *

Birth Date *

Month

Day

Year

Gender (check all that apply) *

Male

Female

Trans

Next fall, I will be in grade: *

I identify as Jewish *

Yes

Name of your high school next year *

Please enter the name of the school that you WILL BE attending next fall. if you are an incoming freshman, or are planning to switch schools, please enter your new school name.

Name of your current synagogue (if applicable) *

If you don't currently belong to a synagogue, please enter "N/A."

Please list, if any, other synagogues you have been affiliated with

Have you applied for the Jewish Teen Foundations before? *

Yes

I am willing to contribute a minimum of $100 to my Teen Foundation's grant fund from my own personal resources. *

Yes

Part 2: Parent or Guardian Information

Parent 1 First Name *

Parent 1 Last Name *

Parent 1 Email *

Parent 1 Home Phone Number *

Parent 1 Mobile Phone Number *

Parent 1 Street Address *

Parent 1 City *

Parent 1 State *

Parent 1 Zip Code *

Parent 2 First Name

Parent 2 Last Name

Parent 2 Email

Parent 2 Home Phone Number

Parent 2 Mobile Phone Number

Parent 2 Street Address

Parent 2 City

Parent 2 State

Parent 2 Zip Code

Part 3: Tell us about yourself

Do you participate in any organizations or clubs? *

Please list any school clubs, summer camps, charities, JCCs, youth groups, etc. and the dates that you have been involved with theses activities.

Describe one or more experiences you have had giving tzedakah, fundraising for a cause, or doing community service. What did you take away from the experience? *

How do you express your Jewish Identity? How does it impact who you are and what your life is like? *

There is no right answer. We enjoy working with teens who express their Judaism in all different kinds of ways and those who are exploring it for the first time.

Why are you interested in participating in Jewish Teen Foundations? What skills and attributes would you bring to the Foundation? What skills would you hope to develop? *

Part 4: Meeting and Retreat Schedule

Please check the dates of all meetings and the Retreat (calendar linked here) to make sure you don't have any conflicts .

I have checked with my family and I am available to attend the Retreat, all 7 board meetings, 2 committee meetings and the Grants Celebration (follow above link for dates) *

Yes

If you have any potential schedule conflicts, please explain here:

Part 5: Reference and Photo

Please provide the contact information of someone who can speak about your character. Consider listing someone who has worked with you in a group setting: a mentor, boss, advisor, or religious leader.

Reference First and Last Name *

Relationship to you *

Reference Phone Number *

Reference Email Address *

Please attach a photo of yourself DOING SOMETHING YOU LOVE! Please make sure your face is clear and, if there are multiple people in the photo, that it is obvious which person you are! *

Files must be less than 2 MB.
Allowed file types: gif jpg png.