Jewish Youth For Community Action (JYCA) Application 2017-18
Hi JYCA applicant! Thank you so much for applying to join JYCA.

We are looking forward to getting to know you! Please answer these questions as truthfully as possible. There are no right or wrong answers, and we are more interested in content than how well you spell. All information submitted is confidential.

If you are accepted, we will then send you further registration materials, including payment info. Tuition is a sliding scale from $800 - $1400, based on your families access to wealth. Payment options and limited scholarships are available for those in need. We do everything possible to make JYCA accessible to everyone.

Name: *
Your answer
Birthday *
Your answer
Are you in school? *
Your answer
If so, where? *
If you're not, put n/a
Your answer
Grade: *
If you're not in school, put n/a
Your answer
If not, what are you up to?
Your answer
How did you find out about JYCA? *
Your answer
Do you know anyone in JYCA or anyone else who is applying? *
If so, who?
Your answer
Are you affiliated with a synagogue or other Jewish institution?
If so, which one(s)?
Your answer
What excites you about being part of an activist organization? *
Your answer
Gender Identity
Optional
Your answer
Race/Ethnicity
Optional
Your answer
Sexual Orientation
Optional
Your answer
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