Synagogues Nomination Form

Please enter below the names of the intended participants for the Partners in Jewish Life Program.

Kindly reach out to these individuals directly. A personal invitation will also be sent from our team.

Note: The maximum number of professionals and congregants combined should not exceed 8.

Thank you!

Name of participating synagogue:

How many participating Rabbi/s?

1234

1. Name of participating Rabbi:

First NameLast Name

1. Phone Number:

Please enter a valid phone number.Format: (000) 000-0000.

1. Email:

example@example.com

2. Name of participating Rabbi:

First NameLast Name

2. Phone Number:

Please enter a valid phone number.Format: (000) 000-0000.

2. Email:

example@example.com

3. Name of participating Rabbi:

First NameLast Name

3. Phone Number:

Please enter a valid phone number.Format: (000) 000-0000.

3. Email:

example@example.com

4. Name of participating Rabbi:

First NameLast Name

4. Phone Number:

Please enter a valid phone number.Format: (000) 000-0000.

4. Email:

example@example.com

How many synagogue professionals will be joining you?

1234

1. Name of participating synagogue professional:

First NameLast Name

1. Phone Number:

Please enter a valid phone number.Format: (000) 000-0000.

1. Email:

example@example.com

2. Name of participating synagogue professional:

First NameLast Name

2. Phone Number:

Please enter a valid phone number.Format: (000) 000-0000.

2. Email:

example@example.com

3. Name of participating synagogue professional:

First NameLast Name

3. Phone Number:

Please enter a valid phone number.Format: (000) 000-0000.

3. Email:

example@example.com

4. Name of participating synagogue professional:

First NameLast Name

4. Phone Number:

Please enter a valid phone number.Format: (000) 000-0000.

4. Email:

example@example.com

How many synagogue congregants are you nominating?

1234

1. Name of participating synagogue congregant:

First NameLast Name

1. Phone Number:

Please enter a valid phone number.Format: (000) 000-0000.

1. Email:

example@example.com

2. Name of participating synagogue congregant:

First NameLast Name

2. Phone Number:

Please enter a valid phone number.Format: (000) 000-0000.

2. Email:

example@example.com

3. Name of participating synagogue congregant:

First NameLast Name

3. Phone Number:

Please enter a valid phone number.Format: (000) 000-0000.

3. Email:

example@example.com

4. Name of participating synagogue congregant:

First NameLast Name

4. Phone Number:

Please enter a valid phone number.Format: (000) 000-0000.

4. Email:

example@example.com