Temple Emanuel - Cherry Hill, NJ
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Union for Reform Judaism
Application for Alternative Break
     
 

Temple Emanuel is continuing to engage and involve our teens in tikkun olam (healing the world) experiences during Teacher’s Convention.  Acceptance into this program requires a positive attitude and commitment to helping others less fortunate, a dedication to Jewish values that embraces tikkun olam, and an assurance to respectfully sharing the experience with fellow teens and staff from Temple Emanuel. 

Please print and use the reverse side of this application to write a paragraph outlining your personal viewpoint representing the above stated goals.

We look forward to sharing this truly wonderful experience with you.  Space is limited due to our lodging arrangements, so please give serious consideration to your participation.  It is possible that not every applicant will be accepted to this program.  Thank you for your interest! 

Name:_________________________________________________________________

Address: _______________________________________________________________

Phone: __________________________              Email: __________________________

Cell phone: _______________________

I would like to participate in Temple Emanuel’s Alternative Break because:

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

What do you think you can add to this trip?  What talents will you contribute (play an instrument, knit, paint, sing, etc)?

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

As part of this trip you must agree to:

·Participate in all programs and meals

·Sign a “Code of Conduct,” co-signed with your parents

·Submit a Medical Release Form

·Submit fee of $136

Print and Return application and fee by October 9, 2009 to:

Rabbi Geri Newburge

1101 Springdale Road

Cherry Hill, NJ 08003

(856)489-0032- Fax

Once your application is processed, a personal interview will be scheduled with Rabbi Newburge. 

Candidates will be acknowledged of their acceptance, and receive additional materials and information, to the program by October 19, 2009. 

Please address any questions to Rabbi Newburge at (856) 489-0029 x16, or gnewburge@templeemanuel.org.

 


Temple Emanuel
1101 Springdale Road | Cherry Hill, NJ 08003 | Ph: 856-489-0029 | Fax: 856-489-0032
Email: info@templeemanuel.org | www.templeemanuel.org

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