JTEEN Membership Form

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If you are a Jewish teen education or engagement professional, Jewish Teen Education & Engagement Network is for you. We are excited to grow and strengthen our network in order to enhance the Jewish teen field.

Email *

Name *

Organization *

Title? *

Full Address (street, city, state, zip) *

Phone Number *

Website Address

# of years in Jewish teen field? *

Degrees or certificates completed? *

Area(s) of expertise where you can support colleagues? *

Are you interested in a leadership position with JTEEN? If yes, in what capacity are you interested in serving? *

Are you interested in a Professional Membership (direct service), Partner Membership, or Independent Contractor/Educator Membership? *

Professional Membership

Partner Membership

Independent Contractor/Educator Membership

Required

If seeking an Independent Contractor/Educator Membership, select this category.

$125/year

If seeking the Professional Membership, select the number of teens you serve.

0-75 teens ($250/year total)

76-149 teens ($350/year total)

150+ teens ($450/year total)

If Professional Member or Independent Contractor/Educator Membership, what is the approximate number of teens you serve?

If seeking the Partner Membership, select correct category.

> $5 million ($720/year)

$1 million-$4.999 million ($540/year)

$500K-$999K ($360/year)

<$499K ($240/year)

If Partner Member, what is your annual budget?

How do you plan to pay for your membership? *

Check

Credit card

N/A

Comments

We are thrilled to have you in the Jewish Teen Education & Engagement Network! Contact Erica Hruby if you have any questions at ericanhruby@jteenprofessionals.org.

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