JAM MIX APPLICATION

First Name Last Name

Email Address Phone Number Year of Graduation

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Describe your previous Jewish Education

Is your father born Jewish?

Is your mother born Jewish?

Have you ever been to Israel? If so what programs?

What do you hope to gain from this program?

List four adjectives that most describe yourself:

Which nights work best for you?

Optional - JAM UCSB INTEREST FORM

How did you hear about this program?

For any questions email us at NHanfling@gmail.com