J-Serve Chicago


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First Name *
Last Name *
School *
Graduation Year *
Date of Birth (mm/dd/yyyy)*
/ /
Gender
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Street Address *
City *
State *
Zip *
E-mail Address *
Home Phone
Cell Phone
Parent / Guardian Name *
Parent / Guardian
Email Address *
Emergency Phone Number *
How did you hear about us? *

(If Other)
Are you a member of a synagogue? If so, which one(s)?
Do you participate in a youth group? If so, which one(s)?
Yes, I would like more information about other service projects in my area.  Yes
Yes, I would like to hear from J-Serve's National Endorsing Agencies  Yes
I would like to pick which National Endorsing Agencies I hear from:

B'nai B'rith Youth Organization, Inc.
Bnei Akiva
Jewish Education Service of North America
Jewish Community Center Association
MAZON: A Jewish Response to Hunger
National Conference of Synagogue Youth
North American Federation of Temple Youth
No'ar Hadash
United Jewish Communities
United Synagogue Youth
Young Judaea
Please select volunteer project:

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If you are having trouble submitting this form, please email your info directly to BrettKlugman@juf.org.

 

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J-Serve has been generously underwritten by the Charles and Lynn Schusterman Family Foundation, the Joseph and Rebecca Meyerhoff Awards Committee, and the Lippman Kanfer Family Foundation.