JCRC/AJC Committee Application
Email address *
Today's Date
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Name *
Home Address (Street)
City
Zip Code
Phone (Home)
Phone (Cell) *
Occupation and location (if applicable)
Synagogue Affiliation
Which of the following committees would you like to participate in? (mark all that apply) *
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Why do you want to serve on a JCRC/AJC committee? *
What special skills, resources, or ideas do you think you will bring to the committee? *
Please provide any additional information that you want the committee co-chairs to be aware of.
How did you hear about JCRC/AJC?
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