First NameRequired

Middle NameRequired

Last NameRequired

Email AddressRequired

Date of BirthRequired

PronounRequired -- choose one -- He/him/his Other preference She/her/hers They/them/their

Street 1Required

Street 2Required

CityRequired

StateRequired -- choose one -- ALABAMA ALASKA AMERICAN EMBASSY AMERICAN SAMOA ARIZONA ARKANSAS ARMED FORCES THE PACIFIC CALIFORNIA COLORADO CONNECTICUT DELAWARE DISTRICT OF COLUMBIA FLORIDA GEORGIA GUAM HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA PUERTO RICO RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGIN ISLANDS VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING

Mobile PhoneRequired Mobile Phone Area Code Mobile Phone Exchange Mobile Phone Number Mobile Phone Extension  Ext: 

Parent / Guardian First NameRequired

Parent / Guardian Last NameRequired

Parent / Guardian EmailRequired

Parent / Guardian Mobile PhoneRequired Parent / Guardian Mobile Phone Area Code Parent / Guardian Mobile Phone Exchange Parent 1 US Phone Number Parent / Guardian Mobile Phone Extension  Ext: 

School (AS OF FALL 2022)Required

Have you participated in any other philanthropy-related programs? * If so, please explain the program and how you were involved.Required

Do you enjoy working with groups? What strengths and weaknesses do you bring to a group?Required

Would you consider yourself an introvert or an extrovert? Please explain.Required

List your extracurricular activities. Please include any jobs or leadership roles you hold and what your anticipated commitments will be during the upcoming academic year.Required

How do you describe your religious affiliation to Judaism?Required -- select one --Reform Conservative Orthodox Traditional Cultural Secular Reconstructionist Renewal Nondenominational Postdenominational Atheist Just Jewish

Do you currently belong to a synagogue? If yes, which one? * Please list the synagogue name and specific city.Required

Please list and explain any other Jewish organizations or activities (youth group, camp, volunteering, fellowships, educational settings, etc.) that you (or anyone in your family) is affiliated with?Required

How did you learn about JTFGB? * If you heard about JTFGB from a past participant, please include their name(s).Required

Why do you want to participate in JTFGB? What aspect of the program is most appealing to you?Required

Has philanthropy or tikkun olam been stressed as a value in your family? If yes, how has this impacted you? If no, what inspired you to participate in a philanthropy program like JTFGB?Required

Think of an issue that impacts people within your own community and/or across the entire world. If you had $10,000 to donate or use to make a difference in this particular area, how would you do it?Required

Feel free to be creative with your next answer! This will give us a sense of what causes/issue areas you are passionate about and how you would try to make a difference with them.

Please select one of the following prompts and include a short essay in the space below addressing the subject. (This should be about 500 words)

Applicant e-signature: I have read through all of the application information and program expectations on the JTFGB website.

I understand that all applicants are required to complete an interview and that submitting this form alone does not guarantee acceptance into the program.

Parent/Guardian permission for participation:

By signing this form, I understand that my teen has applied to participate in the JTFGB for the 2022-23 academic year. I have reviewed the information and understand the commitments involved.

If selected, I promise to support their participation in meetings, activities and all aspects of the program. (Please use full name for e-signature.)Required

B. Explain why you think tikkun olam and tzedakah are important and what makes them values we should incorporate into our daily lives.Required

A. Share an experience you have had “giving back” to the community, what prompted you to do it, and how it made you feel.Required

- Or -

(Some examples of issue areas may include poverty, education, poverty, mental health, domestic violence, etc.)

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Grade as of Sept 1Required -- select one --7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade