Request edit access
Tikun Workshop Request Form
Please fill out this form so we know your workshop selection, date and time, size and nature of group, etc. Thank you!
Organization name (if applicable)
Full name of contact person:
Contact phone number:
Contact email address:
Have you hosted a tikun workshop or Ve'ahavta speaker before?
What motivated you/your organization to invite Ve'ahavta to run an educational program?
What date are you requesting for the event?
What time are you requesting? (Please provide options if possible)
What is your workshop choice?
Build Your Dream City (grade 8 and up)
The Game of Life (grade 7 and up)
To Whom am I Responsible? (grade 7)
Tikun Olam and Your Part of the Puzzle (grades 3 to 7)
Can You Spare a Dollar? (all ages)
Food Security (all ages)
Speaker's Bureau graduate (In this case, please fill out the Speaker Request form)
Please describe the group who will be participating in the workshop (size of group, school/camp background, group dynamics, coed or not, familiarity with Ve'ahavta, etc).
What other programs would you be interested in doing with us?
Youth learning programs
Volunteering on the outreach van
Sorting clothing donations
Is there anything else we should know about the program?
You will be invoiced $250 for the tikun workshop ($400 if coupled with a Speakers Bureau graduate presentation). Thank you!
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service