Title

This is your professional title (E.g. Rabbi, Cantor)

First Name *

Last Name *

Suffix

This include RJE, Ed.d., Ph.d, Etc. 

Pronouns *

Email *

Phone *

Are you an ARJE member?

Yes No I would like to join

Organization *

City *

Organization City

State/Province

Job Title *

How long have you been in your current role? *

List any other professional Jewish Educational positions that you have held (if any)

What do you hope to gain from participating in this program? *

In the past 10 years, what other cohort programs (if any) have you participated in?

What relevant degrees, certificates, or training (if any) do you have?

Strengths *

Please share 2-3 strengths with a brief explanation of how you view these as strengths that help you succeed in your position.

Additional Information

Would you like to share anything with the cohort leader to ensure that your experience is valuable or any accommodations you may require?

Attendance and Sessions *

My institution and I have agreed to prioritize my attendance at the scheduled sessions. Should an emergency arise, I will contact the group leader as soon as possible. Once logged on, I will be as present as possible. 

ARJE26 in Minneapolis

We hope to have our initial meeting of this cohort at our in-person gathering in Minneapolis, MN, on Wednesday, February 4 after the ARJE Conference. Should be selected:

I am able to attend in person in Minneapolis I am able to attend if financial assistance is given I am not able to travel/I have a schedule conflict Other

Supervisor *

Enter required value My supervisor knows that I am applying for this program and I will send them the supervisor form. Please let my supervisor know that I am applying for this program and send them the information and supervisor form.

Supervisor Name and Email *