Generation Application

Personal Information

Name(Required)

First Last

Preferred Name (if different from first)

Pronouns(Required)

Birth Date(Required)

Grade and School (Full name of school)(Required)

Mailing Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Phone Number(Required)

Email Address(Required)

How did you hear about this program?(Required)

Guardian 1 Name(Required)

First Last

Guardian 1 Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Guardian 1 Phone(Required)

Guardian 1 Email(Required)

Guardian 2 Name

First Last

Guardian 2 Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Guardian 2 Phone

Guardian 2 Email

Primary Guardian Contact (1 or 2)(Required)

Application Questions

Please keep the responses to the questions below to no more than 250 words.

Do you attend summer camp? If yes, which?(Required)

Are you a member/participant of a youth group? If yes, which?(Required)

Do you have previous experiences with any other Jewish organizations?(Required)

Have you ever volunteered in an election/in politics? If yes, please list campaigns/experiences.(Required)

Are there any elected officials you have personal connections to? If so, who?

What draws you to the CJPAC Generation: Student Leaders Program?(Required)

What is something special you bring to the CJPAC Generation: Student Leaders Program?(Required)

What are you hoping to take away from this program?(Required)

Have you participated before in the CJPAC Generation: Student Leaders Program? If yes, what do you hope to gain by doing it a second time?(Required)

If yes for the above question, would you be interested in planning/running a portion of a session?

Yes

Which of these options work better or you for a 1/month session (select one or both)(Required)

Wednesday eve 5 pm Pacific/ 8 pm Eastern time

Sunday morning 11 am Pacific/ 2 pm Eastern time

Do you identify with a political party at the Federal/Provincial level? If yes, which? Federal/Provincial?(Required)

Is there anything else you would like us to know?(Required)

Do you have any questions for us?(Required)

Schedule Appointment(Required)

I have made an appointment with CJPAC staff

Please use this calendly link to schedule yourself a conversation with CJPAC staff. A 1:1 conversation is a required part of your application. To schedule yours please copy and paste this link into a new window: https://calendly.com/nfarage/cjpac-generation-student-leaders-program-interview

I agree to abide by CJPAC’s Code of Conduct(Required)

I agree

By attending any CJPAC event or participating in any CJPAC program you agree that participation is enriched in a diverse group, where we respect differences of gender, sexual orientation, identity, ability, race, language, religion, country of origin, and partisanship.

Signature(Required)

(typed name is sufficient)

Date(Required)

Questions?

Any questions can be directed to Noa Farage. Follow-up interviews may be done by telephone, Zoom or in person so make sure your contact information is accurate! Please be sure to sign up to stay up-to-date on CJPAC’s other great programs and events!