Your Name *

Your Title *

Best Contact Number *

Your Email Address *

Your Shul or School Name *

Your Shul or School Location (City, State) *

Where did you receive your Rabbinic Ordination? *

Current Physical Condition *

Have you ever run in an official or unofficial race? *

What is the greatest distance you have run? *

How confident are you that you will be able to keep to a consistent running schedule of running 2 times a week for 3 months? *

Number of Shul Members or Students *

What are your feelings regarding a $6000 fundraising goal? *

Has your Shul or School organized a fundraising campaign within the last 6 months? *

Do you have the ability to distribute emails to all shul members or school parents? *

Are your shul members or school parents uncomfortable with email so that a letter mailing will be needed as well? *

Do you plan to include your friends and family members in your campaign emails? *

Have you had a chance to watch our video from last year, available on our home page? *

Would you like to discuss the program with one of our previous Running Rabbis? *

Briefly describe why you would like to take on the RabbisCanRun Challenge and what you hope to gain from the experience? *

Where did you hear about our program? *

Would you like to recommend a Rabbi who would be interested in learning more about this unique opportunity? If yes please include name or contact info.

Please share any comments or concerns