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First name 

Include a middle name or initial if applicable
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Last name

You will be listed alphabetically by this name on the R4C website.
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Email

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Phone
Rabbi or Rabbinical Student? *
What denomination are you part of?
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Where do you live?
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What city do you live/work in? *
If in the US, what state do you live/work in?
If you do paid work, what is the name of the organization(s) you work for?
Job title/s
What type of organization is this? 
In your opinion, how likely is this organization to co-sponsor an event with Rabbis for Ceasefire?

On a scale of 1 - 5, where 1 is "Extremely unlikely" and 5 is "Extremely likely"
If you work at a Jewish organization, is it affiliated with a denomination of Judaism?
Please share any other current organizational affiliations below and a brief description of your involvement.

Thank you!
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