Jewish Changemakers Application

Thank you for your interest in the Jewish Changemakers Fellowship.
Please read the FAQ's and then complete the application below for the opportunity to become a Jewish Changemaker.

Participants will be notified on their acceptance on a rolling basis.

Contact Info

Contact Details

First Name*

Last Name*

Mobile Phone*

Non-School Email Address*

Home Address

Federation/Network

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Street*

City*

Home State/Province*

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Home State/Province Other*

Zip*

Country*

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If Other, please specify: *

Will your summer address be different from the above address?*

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Profile Details

Birthdate*

Please Provide Brief Bio (500-1000 characters)*

What are your gender pronouns?*

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Gender Other*

As of Summer '22, I am:*

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School*

Major*

Graduation Year*

Summer of ‘22 I will be working*

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Employer Name*