Personal Mailing Address:
Street:
City: State or Province: ZIP Code:
Personal Telephone:
School:
Address:
Street:
City: State or Province: ZIP Code:
School Telephone:
e-mail:
Part II: General Education
Colleges/Universities
School:
Location:
Major Area(s) of Study:
Degree Earned:
Date:
School:
Location:
Major Area(s) of Study:
Degree Earned:
Date:
School:
Location:
Major Area(s) of Study:
Degree Earned:
Date:
School:
Location:
Major Area(s) of Study:
Degree Earned:
Date:
School:
Location:
Major Area(s) of Study:
Degree Earned:
Date:
School:
Location:
Major Area(s) of Study:
Degree Earned:
Date:
School:
Location:
Major Area(s) of Study:
Degree Earned:
Date:
Non-Degree Programs, Distance Learning Programs, and Major Professional Development Conferences
Program:
Location:
Focus/Goals of Program:
Date:
Program:
Location:
Focus/Goals of Program:
Date:
Program:
Location:
Focus/Goals of Program:
Date:
Program:
Location:
Focus/Goals of Program:
Date:
Program:
Location:
Focus/Goals of Program:
Date:
Part III: Judaic Education
Elementary and high school formal Judaic educational experiences
Program:
Location:
Denomination (if applicable):
Years Attended:
Program:
Location:
Denomination (if applicable):
Years Attended:
Program:
Location:
Denomination (if applicable):
Years Attended:
Program:
Location:
Denomination (if applicable):
Years Attended:
Program:
Location:
Denomination (if applicable):
Years Attended:
Program:
Location:
Denomination (if applicable):
Years Attended:
Elementary and high school informal Judaic educational experiences (youth group, summer camp, Israel trips, etc.)
School:
Location:
Denomination (if applicable):
Years Attended:
School:
Location:
Denomination (if applicable):
Years Attended:
School:
Location:
Denomination (if applicable):
Years Attended:
School:
Location:
Denomination (if applicable):
Years Attended:
School:
Location:
Denomination (if applicable):
Years Attended:
School:
Location:
Denomination (if applicable):
Years Attended:
University courses in Judaic studies (undergraduate and graduate)
School:
Location:
Course Title/Description:
School:
Location:
Course Title/Description:
School:
Location:
Course Title/Description:
School:
Location:
Course Title/Description:
School:
Location:
Course Title/Description:
School:
Location:
Course Title/Description:
School:
Location:
Course Title/Description:
School:
Location:
Course Title/Description:
School:
Location:
Course Title/Description:
Please rate your own Hebrew skill level
(scale of 0 to 5, with 0 being the lowest ranking and 5 being the highest ranking)
Speaking:
Listening Comprehension:
Reading Comprehension:
Writing:
Translation:
Please rate your own experience and comfort in the following areas of Judaic studies
Tefillah (Jewish Prayer):
Novice
Beginner
Intermediate
Expert
Chumash (Five Books of Moses):
Novice
Beginner
Intermediate
Expert
Mishna (Oral Law):
Novice
Beginner
Intermediate
Expert
Biblical Jewish History:
Novice
Beginner
Intermediate
Expert
Medieval Jewish History:
Novice
Beginner
Intermediate
Expert
Modern Jewish History:
Novice
Beginner
Intermediate
Expert
Israel and Zionism:
Novice
Beginner
Intermediate
Expert
Jewish Ritual Practice:
Novice
Beginner
Intermediate
Expert
Part IV: Employment History
Please include all positions in Jewish and general education as well as other relevant professional work (other positions in the Jewish community, administrative work, etc.)
School/Organization:
Location:
Title:
Dates of Employment:
Name/Organization:
Location:
Title:
Dates of Employment:
Name/Organization:
Location:
Title:
Dates of Employment:
Name/Organization:
Location:
Title:
Dates of Employment:
Name/Organization:
Location:
Title:
Dates of Employment:
Name/Organization:
Location:
Title:
Dates of Employment:
Name/Organization:
Location:
Title:
Dates of Employment:
Name/Organization:
Location:
Title:
Dates of Employment:
Name/Organization:
Location:
Title:
Dates of Employment:
Part V: Essay
Please describe why you have applied to be a participant in Project SuLaM and what you hope will come out of your participation, both for you as an individual and for your school (250-500 words).
Part VI References
Please provide the contact information for the three individuals from whom you intend to request letters of reference. Please instruct your referees to send their letters in sealed envelopes, signed across the seal, directly to RAVSAK. There is no formal reference form. References should be sent on workplace letterhead. All letters must be received by December 1, 2006.
Reference A
Name:
Title:
Address:
Street:
City: State or Province: ZIP Code:
Telephone:
e-mail:
Reference B
Name:
Title:
Address:
Street:
City: State or Province: ZIP Code:
Telephone:
e-mail:
Reference C
Name:
Title:
Address:
Street:
City: State or Province: ZIP Code:
Telephone:
e-mail:
Part VII: Signatures
Please download this PDF file, fill it in, and send it to:
RAVSAK
120 West 97th Street
New York, NY 10025
Click Here for the last part of the form, then click "Submit Registration" below.
