Madrichim Application 5783, 2022-23

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Applications will be reviewed as soon as possible and you will be notified via email on your acceptance.

* First Name

* Last Name

Pronouns

* Grade

Your Cell Phone

Primary Parent/Guardian Cell

Secondary/Optional Parent/Guardian Cell

* Your Email

Primary Parent/Guardian Email

Second/Optional Parent/Guardian Email

Please confirm availability Sundays 8:45 AM - 11:45 AM and occasionally - 1:00 PM

* Please check if fully vaccinated for COVID-19

Please check if fully vaccinated for COVID-19 Email copy of COVID vaccinations card and w-9 to rabbiklein@templeisrael.org

Stay connected! Tell us what you plan to do this year and what interests you in the Jewish world:

Madrichim are expected to engage in another Jewish program of their choice: join one our classes (biweekly or monthly) with the clergy, take on a leadership position within our youth group, become a counselor or participant at Jewish summer camp or trip to Israel, sign up for a Jewish program for teens, etc.

* I am responsive to communications via

Please Select OneText MessageEmailBoth

* Desired grade to work with

* Are you able to help students with Hebrew?

Please Select OneYesNo

* I hereby commit to attending at least 75% of all madrichim programming throughout the year

Please Select OneYesNo

* I want to be a Madrich/a/im because:

Fri, March 24 2023 2 Nisan 5783

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