RAC Social Justice Academy Interest Form

Title

First Name

Last Name

Email Address

I'm a:

Congregational professional/Jewish communal professional interested in having a delegation of my high school students participate in this programInterested high school studentInterested parent or guardian of a high school student

Are you affiliated with a URJ Congregation?

YesNo

Please select your URJ congregation

Are you involved in (check all that apply)

NFTYBBYOOther

Which NFTY region?

Other- share more:

How did you hear about the Social Justice Academy?