RAJEon Action/RAJE U Fellowship Application - Spring 2013
First RAJEon Action/RAJE U session will be on February 10th, 2013 3:30-8:00pm.
All program rules and details will be explained on the first day
See you then!!
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First Name *
Last Name *
Date of Birth (mm/dd/yyyy) *
Gender *
Address *
City *
State *
Zip *
Mobile # *
Alternate Phone #
Email *
Marital Status *
If Married- Name of Spouse
Was your father born Jewish *
Was your mother born Jewish *
Educational Information
Undergraduate University/College Attended
Year of graduation/Projected graduation
Graduate School attended
List any groups, clubs, or fraternities/sororities you belong to
Please indicate if you hold a position in any of these organizations & what is your position
Describe your academic interests, hobbies, and extra-curricular activities
Employment Background
Current employment status *
Name of Employer
Position
Jewish Background
Have you participated in Jewish educational programs before? *
If Yes, please which program(s)
Have you participated in a Birthright trip to Israel *
If Yes, which Birthright provider?
Do you know how to read Hebrew? *
Have you ever attended a Jewish School? *
If yes, what was the name of the school
Which grades?
What is your Jewish affiliation? *
Have you ever participated in any Jewish educational trips (not including RAJE trips or Birthright) *
If yes, please describe (include name of organization, year of trip, and destination)
Involvement in RAJE
Have you participated in RAJE Fellowship programs or trips? *
If yes, please list programs in which you participated, include program name, year and semester
Which trip(s) did you go on? When?
Please list any friends who are applying with you to the program
Are you interested in the following topics (check all that apply): *
Required
What do you believe was the highlight of the educational component of the Leadership program? *
If you participated in RAJEon Action- please list highlights of that
Is there any component that you would like to gain in the Action program that you believe was missing in the Leadership program?
What are you expectations of the RAJE Action Fellowship? *
Which program are you applying to?
Only choose Action 2 if you completed Action 1. If you are coming from the Leadership Program please choose Action 1
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