IAC Community in a Box - Community Leader Interest Form

IAC Community in a Box - Community Leader Interest Form
Thank you for your interest in Community in a Box!

We are looking for community leaders who are passionate about bringing people together and creating meaningful Israeli-Jewish community experiences.
Full Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Are you currently involved in a local community?
Tell us briefly about the community you are part of, or the community you would like to build.
Who is your primary target audience?

Other
How many participants would you expect at each community activity?
What would you most like to strengthen through your community activities?

Other
Do you have other people who could help you lead the community?
Why are you interested in becoming a Community in a Box leader?
What type of support would be most helpful to you?

Other
How did you hear about Community in a Box?

Other
I am interested in learning more and speaking with the Community in a Box team.
Number
Campaign Name
Should be Empty: