VCK Education & Outreach Request

VCK Education & Outreach Request

Please fill out the following form and we will contact you about how our Outreach Team can provide your organization with information, resources, and educational programs about the practices related to the mitzvah of burying the dead and caring for the deceased.
Name of Requestor *

First Name Last Name
Email of Requestor *
example@example.com
Phone Number of Requestor *
Please enter a valid phone number.
Name of Organization Requesting Educational/Outreach Services *
Please indicate what type of organization. *

Synagogue Funeral Home Educational Institution (K-12) Educational Institution (College, University, Other) Jewish Community Center Jewish Retirement / Assisted Living / Hospital / Skilled Nursing Facility Professional Jewish Organization Other
Education Requested

General Education Workshop on Services/Rites (in-person) General Education Workshop on Services/Rites (on-line/webinar format) Handouts on Services/Rites Videos on Services/Rites Education for Clergy Education for Healthcare Professionals Education & Materials for Families for End-of-Life Planning Other
If known, please provide a date and time that you are considering having us educate your organization.

Month Day Year
Date
Hour Minutes AM/PM Option
Should be Empty:

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