Women of Temple Israel Madrichim Application 5784, 2023-24 - Form

We're thrilled you are applying! We ask returning madrichim to apply as well! Applications will be reviewed as soon as possible and you will be notified via email on your acceptance by the end of the summer.

* First Name

* Last Name

Pronouns

* Grade

Your Cell Phone

Primary Parent/Guardian Cell

Secondary/Optional Parent/Guardian Cell

* Your Email

Primary Parent/Guardian Email

Second/Optional Parent/Guardian Email

Please confirm availability Sundays 8:45 AM - 11:45 AM and occasionally - 1:00 PM

* Please check if fully vaccinated for COVID-19

Please check if fully vaccinated for COVID-19 Email copy of COVID vaccinations card and w-9 to rabbiklein@templeisrael.org

Stay connected and continue learning! Tell us what you plan to do this year in the Jewish world and if you're not sure yet what you are considering! See below for ideas:

Madrichim are expected to engage in another Jewish program of their choice: join one our courses 8th, 9th, and Confirmation with the clergy, take on a leadership position within our youth group, participate or work at a Jewish summer camp, go on a trip to Israel, sign up for a Jewish program for teens like Wexner Service Corp, etc.

* I am responsive to communications via

Please Select OneText MessageEmailBoth

* Desired grade to work with

* Are you able to help students with Hebrew?

Please Select OneYesNo

If yes, what is your availability for Hebrew Pods (an optional, awesome opportunity with compensation)

* I hereby commit to attending the madrichim program throughout the year with no more than 5 absences throughout the year.

Please Select OneYesNoAll absences must be communicated to senior madrichim leaders in advance. Contact information will be provided at the beginning of the year.

I hereby commit to attending occasional madrichim meetings after school (lunch provided) to the best of my ability (roughly 4 per year).

YesNo

* I want to be a Madrich/a/im because: