Geographic Areas Served by Summer Experience (check all that apply): New York Bronx Nassau Queens Brooklyn Suffolk Staten Island Brownstone Brooklyn Manhattan Westchester Israel North South National Central Jerusalem Former Soviet Union Moscow Other: Europe Eastern Central Western Other: Population Served by Summer Experience (check all that apply): Age Group Young Children (Infant-2) College Age Adults (18-22) Older Adults (65+) Children (3-12) Young Adults (23-39) Teens (13-17) Adults (40-64) Denomination Conservative Reconstructionist Unaffiliated Haredi Modern Orthodox Other: Reform Israeli Jewish Renewal Ethnic/Demographic Group Russian Speaking Israeli-American European – Central Interfaith Israeli Single Parents Sephardic – Syrian Ethiopian LGBTQ Sephardic – Other Arab-Israeli Other Immigrant Group: Persian European – Eastern Bukharian European – Western General Population Chief Voluntary Officer’s E-Signature (Typing your name is sufficient): Email:
Geographic Areas Served by Summer Experience (check all that apply): New York Bronx Brooklyn Brownstone Brooklyn Nassau Suffolk Manhattan Queens Staten Island Westchester Israel North Central South Jerusalem National Former Soviet Union Moscow Other: Europe Eastern Central Western Other: Population Served by Summer Experience (check all that apply): Age Group Young Children (Infant-2) Children (3-12) Teens (13-17) College Age Adults (18-22) Young Adults (23-39) Adults (40-64) Older Adults (65+) Denomination Conservative Haredi Reform Reconstructionist Modern Orthodox Israeli Jewish Renewal Unaffiliated Other: Ethnic/Demographic Group Russian Speaking Interfaith Sephardic – Syrian Sephardic – Other Persian Bukharian Israeli-American Israeli Ethiopian Arab-Israeli European – Eastern European – Western European – Central Single Parents LGBTQ Other Immigrant Group: General Population Chief Voluntary Officer’s E-Signature (Typing your name is sufficient): Email:
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