Diller Teen Fellows Application 2021-2022 Boston

Diller Teen Fellows Application (2021-2022)

Deadline: Sunday, June 6th

Application Requirements:

Welcome! We are thrilled that you are interested in applying to become a Diller Teen Fellow! Please set aside up to 45 minutes to complete the application.

A complete application includes:

All required fields filled in (marked by a red star)
A recent picture of yourself uploaded in the application
A quick 60-second video to be included in the application
1 online recommendation, to be completed by June 6th (click here to see the recommendation form)
Preferred interview dates selected

Please note that an incomplete application may result in disqualification. Your application is only complete once you press "SUBMIT." You will receive a confirmation email from our office when you press "SUBMIT" and your application goes through. If you do not receive a confirmation email, or if you have questions at any point, please feel free to contact Sophia Adler at teens@jccgb.org or 617-558-6512.

The application period is open through Sunday, June 6th.

For additional information about the global Diller Teen Fellows program, please visit www.dillerteenfellows.org.

We strongly recommend you complete the application in one session. However, if necessary, you are able to save what you have done and complete the form at a later time using the "Save Answers and Resume Later" button at the bottom of each page. Please note that if you choose this option, you will need to enter your email address so that our system can send you a personalized link to complete your application at a later time. Please ensure you enter a valid email address, so that your progress won't be lost.

Applicant Information

Note: Your privacy is very important to us. To better serve you, the form information you enter is recorded in real time.

Applicant's Name*

First Name

Last Name

Applicant's Email Address*

Please enter your primary email address

Applicant's Cell Phone Number*

Home Phone

Address*

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

I identify my gender as:*

Birthday*

Additional Applicant Information

How do you identify Jewishly?*

For example: Reform, Conservative, Modern Orthodox, Orthodox, Reconstructionist, Culturally Jewish, Just Jewish, etc.

Are you affiliated with a synagogue?*

Yes No Other

Name of synagogue*

Please Explain*

Are you a US citizen?*

Yes No

What is your immigration status? *

Parent/Guardian Information

Please enter details of your parent(s) / guardian(s)

Parent/Guardian 1*

First Name

Last Name

Relationship to Applicant*

Mother Father

Other:

Parent/Guardian 1 Email Address*

Parent/Guardian 1 Cell Phone*

Parent Guardian 2

First Name

Last Name

Relationship to Applicant

Mother Father

Other:

Parent/Guardian 2 Email Address

Parent/Guardian 2 Mobile Phone

Do you have siblings? If yes, please indicate names, ages, and note if they are a Diller alum.*

Education & Extracurricular Information

Name of High School*

Current Grade*

Applicants must CURRENTLY be in Grade 9 or 10 to be eligible to participate in the program next year (in Grade 10/11).

Have you ever participated in a camp or youth group program?*

Yes No

(includes overnight and day camp, and any youth groups)

Names of Camps/Youth Groups & Years Attended*

(e.g. Camp Kadimah - 2016, BBYO - 2019, etc.)

Have you attended Jewish Day School or Hebrew School?*

Yes No

Names School(s) and Grade(s) Attended*

Have you traveled to Israel?*

Yes No

How many times and in what capaicty?*

Leadership Experience

Diller Teen Fellows invites all types of leaders as we strive to put together a Cohort of many different personalities and perspectives that demonstrate various styles of leadership.

Please list any positions you have held as a camp counselor, teacher, or youth group board member both in the Jewish and in the broader communities.*

Short Answer Questions

Please complete the following Short Answer questions to the best of your ability

Tell us a bit about yourself. You can highlight any accomplishments, extracirrculars, volunteer work, hobbies or interests. (5-10 sentences)*

For example: I am the founder of my school’s Frisbee Club, a member of the Jewish Student Union, and I play the saxophone in a jazz band. Outside of school, I am the goalie on my club soccer team, The Power Kickers. On the weekends, I enjoy playing Settlers of Catan with my friends and going for walks with my dog. At Camp Ramah in 2019, I was awarded the title of "Strawberry King" when I ate 88 strawberries in under a minute. For my Bar Mitzvah project, I began volunteering every Thursday at the local Boys & Girls club. I valued my relationship with my "little" brother, MJ, so much that I have continued to volunteer every Thursday, even after my Bar Mitzvah project was completed. I really love Rom-Com movies and hope to one day be a Hollywood director.

With which aspects of Jewish life do you connect most strongly?*

What excites you most about the opportunity to become a Diller Teen Fellow?*

The Diller Teen Fellows is a serious commitment and all programming is mandatory. What other commitments have you made that could potentially conflict with this program? Please include approximate time per week/ month.*

Complete each of the statements below:

People would say I am: *

I am committed to the cause of:

Whom do you admire and why?

Personal Video

Please record a 60-second video of yourself that introduces us to you and why you want to be a Diller teen fellow. We are not judging the video based on quality, you can record with your phone, laptop, or any other device you have handy (as long as we can hear/see you).

Please copy and paste a YouTube link below. Please make sure your video is not set to 'private'.*

Photo & Agreement

Please upload a photo of yourself below. The photo should not contain anyone else and should be no older than one year. A school photo or passport style photo work best.*

No File Chosen

File uploads may not work on some mobile devices.

How did you hear about the program?*

Friends Alumni of the program My parents / family members Social media A flyer or advertisement Heard about it at school A teacher referred me Synagogue / youth movement / club activities

Other:

References

In order for your application to be complete, please select someone to serve as a reference. This person should be a non-related adult who can attest to your character and leadership skills. Personal friends are also not acceptable.

Note: After filling out the reference section below and submitting this application, your reference will automatically be sent a link to a reference form. We strongly suggest you reach out to the person you have in mind prior to submitting this application and also follow up to make sure they have completed it by the due date. References are due no later than June 6th.

Who should we be expecting references from?

Name of Reference*

First Name

Last Name

Email of Reference*

By signing below, I certify that all statements in this application are accurate and correct.*

[clear]

Use your mouse or finger to draw your signature above

Interview Selection

You're Just About Done!

All applicants are required to participate in an individual and group interview.

Individual Interview:

Please select a time here: https://calendly.com/sadler-2/diller-cohort-13-individual-interview (link will open in a new tab)

The Group Interview:

We are holding group interviews both in-person and virtually. If attending the in-person interview, each applicant must adhere to all COVID safety protocols, including mask wearing, social distancing, and agreeing to a brief health screening upon arrival.

Note that while we will do our best to slot you in your requested time, we may have to make changes based on gathering limits. If possible, please hold all group interview dates, and we will confirm your date in in early June.

Group Interview Options:

- Sunday, June 13th at 10-12:30pm at the JCC Greater Boston

- Wednesday, June 16th at 6:30-8:30pm, Virtually

- Sunday, June 20th at 10-12:30pm at the JCC Greater Boston

I confirm that I have chosen an individual interview time through the link above.*

Yes

Please Select Your Requested Date & Time for your Group Interview*

Once you hit the submit button below, your application will be reviewed.

In the meantime, should you have any questions, please don't hesitate to get in touch with Sophia Adler at teens@jccgb.org.

Diller Teen Fellows International is funded by the Helen Diller Family Foundation, a supporting foundation of the San Francisco Federation’s Jewish Community Endowment Fund.

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