Interest Form for the Fall 2023 Cohort of the URJ Teen Israel Organizing Fellowship

Confirmation Email Sender (Org-Wide Email Display Name)

Confirmation Email Subject

Confirmation Email Body

For more information about the URJ Teen Israel Organizing Fellowship, or to speak with fellowship director Bryan Oren, please fill in your contact details below.

If you haven't already done so, please be sure to look at the URJ Teen Israel Organizing Fellowship website.

Your First Name

Your Last Name

Your Email

Please choose one of the following options.

I am a participant 18 years of age interested for myself.I am a legal guardian/custodial parent interested for a teen dependent.I am under 18 years of age interested for myself.

Your Birthday

Parent/Guardian's First Name

Parent/Guardian's Last Name

Parent/Guardian's Email Address

Participant's Birthday

Participant's First Name

Participant's Last Name

Participant's Email Address

By completing this form, you are agreeing to receive emails from URJ youth programming. You can manage your email preferences at any time.