JET Maimonides Leadership Fellowship Application
Crash Course in Judaism! No experience is necessary! As a JET Maimonides Leadership fellow, you will join together for an incredible seminar featuring fascinating guest speakers including Jewish legal and business professionals, politicians, mystics, and influential rabbis.
Topics will range from Jewish holidays, spirituality, and Shabbat, to relationships, psychology, and Israel activism. Do not miss out on this once in a lifetime opportunity to connect with the ancient wisdom of your heritage and emerge as a strong Jewish Leader!!!

A stipend is available upon completion of the requirements of this program. Speak to your local JET Rabbi (rabbituman@jetcampus.com) or mentor for more details, or fill out the application form below to be a part of this amazing opportunity!

Winter 2016 Course options:
- UIUC/ISU track: (led by Rabbi Zev Kahn @ UIUC) - start date and location: TBA
- Chicagoland track A: Open to ALL Chicagoland College-aged Jewish students
(led by Rabbi Baruch Tuman, given at DePaul, LIncoln Park, Student Center - 2250 N Sheffield Ave)
Start Date: January 19, 2016 - March 8, 2016 for full schedule & location . . . http://bit.ly/JETMaimonidesWinter2016sch
-Chicagoland track B: Open to ALL Chicagoland College-aged Jewish students
(led by Rabbi Baruch Tuman, given at Loyola University, Damen Center - 6511 N Sheridan Road)
Start Date: March 15, 2016 - April 19, 2016 (Tentative dates)

All personal information will be held in strict confidence.

I affirm that all the information provided in this application is true, and understand the Maimonides Leaders Fellowship guidelines enumerated below:

1) I understand that in order to receive the full fellowship I will need to attend all the program components including weekday seminars, weekend events, and graduation. I also understand that failure to attend the above-stated events will result in a prorated deduction from program stipend.

2) I will comply with all basic standards of program conduct in a manner befitting a Maimonides Fellow. MLF reserves the right to ask any fellow to discontinue participation for any reason it sees fit. In such event the student will not receive any Fellowship funds.

3) A personal interview may be required before final admission.
First name: *
Your answer
Last name: *
Your answer
Gender: *
Date of Birth: *
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What university are you currently attending? *
Your answer
Name of JET Maimonides track you wish to attend: *
How did you hear about Maimonides? *
Your answer
Have you been on a Birthright Israel Trip? *
Are you in a fraternity or sorority? If yes, which one? *
Your answer
Please provide us with your university mailing address. *
Unit/apartment number, city, state, ZIP code.
Your answer
Please provide us with your home/permanent mailing address. *
Unit/apartment number, city, state, ZIP code.
Your answer
Your cell phone number: *
Your answer
Your email address: *
Your answer
How would you describe your Jewish affiliation? *
Into which religion were you born? *
Your answer
Into which religion was your mother born? *
Your answer
Into which religion was your father born? *
Your answer
Into which religion were your maternal grandparents born? (write "unknown", if unknown) *
Your answer
Into which religion were your paternal grandparents born? (write "unknown", if unknown) *
Your answer
Given your family’s religious history, which religion do you associate yourself with?: *
Your answer
Please provide details of any conversions or adoptions in your family (type “none” if not applicable): *
Your answer
Name of your mother? *
Your answer
What is your mother's occupation? *
Your answer
Mother's phone number? *
Your answer
Mother's email address? *
Your answer
Mother's home mailing address? *
Your answer
Name of father? *
Your answer
What is your father's occupation? *
Your answer
Father's phone number? *
Your answer
Father's email address? *
Your answer
Father's home mailing address *
Your answer
What is your parents' marital status? *
Please list the names and ages of your siblings:
Your answer
Do you have any special medical needs? *
If yes, please explain:
Your answer
If you are taking, or have taken in the past (on a protracted basis) any medication for any aspect of your health, please indicate:
Your answer
What is the highest level of Jewish education you've completed? *
List chronologically all the schools you have attended: *
Please list in the following format: Name of Secondary Schools, Location, Dates of Attendance, Graduate Date and Degree Awarded
Your answer
Describe your Jewish educational background (if any): *
Include which years you had the education.
Your answer
How would you describe your level of Hebrew Proficiency? *
In two paragraphs, please explain what you hope to gain from the Maimonides Leaders Fellowship program.* *
Your answer
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