2019 JCC Global Teen Fellows Application

Teen First Name
Teen Last Name
Teen Email
Teen Cell
Teen's Date of Birth (mm/dd/yyyy)
JCC Member:
Parent First Name
Parent's Last Name
Parent's Email
Parent Cell
Do you belong to a synagogue?
If so which one?

Short essay questions

What are some of the co-curricular activities you participate in? Do you have a leadership role in any clubs or organizations?
What type of leader do you aspire to be?
Have you been to Israel before? If so, when and with whom?
Why are you interested in the Global Teen Fellows program and what do you hope to gain by participating?


Global Teen Fellows are expected to participate in six leadership seminars on the following dates:

Educational sessions include a light dinner and are on Sundays from 5-7:30p.m.

January 20

February 10

March 10

April 7

May 5

June 2

Are there any extenuating circumstances that you know of at this time which may cause you to miss a session?
If yes, please specify the date in question and the reason you will be unable to attend.
Please enter teen's signature (full name)
Please enter parent's signature (full name)

Payment Information: Upon acceptance into the program, your credit card will be charged $500.

Payment Method
Card Type
Name on Card
Credit Card Number
CVV (located on back of card)
Expires (mm/yy)