Share this cause:

     

REGISTRATION FORM

Thank you for your interest in participating in our special Philadelphia section of Don't Kvetch, Organize!. Please fill out the registration and payment information below.


* Denotes required information.

*
*


Contact Information


*
*
*
* * * *
*
* ( ) Ext.
*

Survey Questions


* What is your age range?


* How did you hear about this course? If you heard through a particular friend, rabbi, colleague, Jewish organization or through social media account, please let us know this person or organization's name.


* What is your gender?


What is your race?


* What movement are you affiliated with? (if any)


* If you are affiliated with a specific Jewish institution (synagogue or other type of Jewish organization), please let us know the name(s) of the institution(s).


* Why are you interested in taking this course? Please share a few sentences.


* What is the largest city closest to you?


Do you have any accessibility needs we should be aware of? If so, please describe. We will make every effort to meet these needs, and will be in touch with you if we are unable to.


* To support your learning and growth throughout the course, we are providing an opt-in "buddy system." The purpose of the buddy system is to provide you with a partner for learning throughout the course. You can learn more about the buddy system here: joinforjustice.org/buddy.




If you selected "I am signing up with a buddy" in the previous question, please share their name below.


We will make every effort to include participants for whom the course fee is a barrier. Please contact us at tsmookler@joinforjustice.org if you are in need of a scholarship.

Payment Information
(Payment non-refundable; however, if you are no longer able to take the course this round, we will transfer your payment towards a future JOIN online course offering.)


* Cost of Course:
* Processing Date:
installments
*
*
*
*

Header Image