Ramim 6 Application
PLEASE ANSWER ALL QUESTIONS TO THE BEST OF YOUR ABILITY. If you have any questions, please contact Gal DiMambro at gdimambro@jewishrochester.org.
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Gender
Please Select
Male
Female
Other
Birthdate
-
Month
-
Day
Year
Date
College(s) Attended & Degree(s) Earned
Current Profession - Please include how long you've been employed.
If you are married, please indicate your spouse’s name, as well as the names and ages of any children.
Have you ever visited Israel before?
Please Select
Yes
No
If yes, how long and in what context?
Are you a member of a Synagogue?
Please Select
Yes
No
If yes, which Synagogue?
Please check all that apply. In Modi’in, I would require:
A Kosher Home
A Shabbat-Observant Home
JEWISH COMMUNITY BACKGROUND: Describe your involvement in Jewish activities (Bar/Bat Mitzvah, confirmation, camps, leadership experience)
OTHER ORGANIZATIONS AND ACTIVITIES: List other activities such as community and extra-curricular. Describe your hobbies and special interests.
PERSONAL ACHIEVEMENT: Describe personal achievements that are important to you, including any honors, awards, or offices you have held.
WORK/VOLUNTEER EXPERIENCE: List full or part time job experience and/or community service activities, with dates. Briefly describe your responsibilities.
WHAT DO YOU HOPE TO GAIN FROM THE RAMIM EXPERIENCE?
WHAT PERSONAL SKILLS, ATTRIBUTES, KNOWLEDGE, AND STRENGHTS WOULD YOU BRING TO THE GROUP?
SPECIAL DIETARY NEEDS/RESTRICTIONS: List any food allergies or supplemental needs. State whether or not you keep Kosher and describe your level of observance. Are you currently or would you be willing to eat vegan/vegetarian?
OTHER SPECIAL NEEDS: List any medical needs/accommodations that need to be made.
IS THERE ANYTHING ELSE YOU WOULD LIKE US TO KNOW ABOUT YOU
Submit
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