JUDJ Founding Statement of Mission

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I give permission for my name and (only if included below) organizational affiliation & title to be included in all publications of this statement. *

Yes

Full Name *

Organizational affiliation (if applicable, please choose one - for identification purposes only)

Title (if applicable - for identification purposes only)

Do any of the following categories apply to you (please leave blank if not)?

Clergy (rabbi, cantor, etc.)

Board officer or senior executive of a Jewish philanthropy, nonprofit, or other communal organization

Elected or appointed public official

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