Miami Diller Teen Fellows 2017-2018 Application: Cohort 5 Header Image

Miami Diller Teen Fellows Application (2017-2018)

Application Requirements:

A complete application includes:
- All required fields completed
- A Recent Picture of Yourself to be uploaded in the Application
- Preferred Interview Dates Selected
- 2 Online Recommendation (click here)

Please note that an incomplete application may result in disqualification from the application process. *Please be sure to complete all six sections of the application. Your application is only complete once you press "SUBMIT".

After the application is complete, you will be contacted regarding your requested date of interview.

Have more questions? Contact Shoshana Brownstein at shoshanabrownstein@caje-miami.org or 305-576-4030 ext. 119. The application period is open through August 2017.

Before you begin:

- The application takes approximately 20 minutes to complete.

- You will be asked to upload a recent photo of yourself (the photo cannot contain anyone else - just you - and should be no older than one year)

- 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 as for security reasons there is no way to retrieve the link at a later time and you will have to restart the application process.

- You will receive a confirmation email when you submit your application to confirm that it has been received by our office. If you do not receive this email, please contact Shoshana Brownstein at shoshanabrownstein@caje-miami.org or 305-576-4030 ext. 119.


Applicant Information

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

Name
Please enter your primary email address
Address
Gender

Additional Applicant Information

Are you a US Citizen?
Is one or both of your parents Israeli-born?
How do you identify Jewishly?
Please enter the name of your synagogue, or enter "Unaffiliated" if you do not belong to a synagogue
Dietary Requirements/Preferences
Please select all that apply

Parent/Guardian Information

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

Parent/Guardian 1
Relationship to Applicant
Does Parent/Guardian 1 share the same home address as applicant?
Parent/Guardian 1 Address:
Parent Guardian 2
Relationship to Applicant
Does Parent/Guardian 2 share the same home address as applicant?
Parent/Guardian 2 Address:
Are any of your siblings Diller Alumni?
Please list the names and ages of each of your siblings
Please list the names and ages of each of your siblings

Education & Extracurricular Information

Applicants must CURRENTLY be in Grade 9 or 10 to be eligible to participate in the program next year (in Grade 10/11).
Do you have any Jewish School experience?
(includes primary, secondary, or supplementary/after-school)
(e.g. "Bialik Hebrew Day School: Grades 1-6")
Do you have any camp/youth group experience?
(includes overnight and day camp, and any youth groups)
(e.g. Camp Kadimah - 2010, BBYO - 2012, etc.)

Leadership Experience

Extracurricular

Have you ever traveled as part of a student group/delegation WITHOUT your parents/family?

Volunteer Experience

(e.g. ABC Hospital Volunteer - 2010)

Short Answer Questions

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

Complete each of the statements below:

Photo & Agreement

Upload a photo of yourself below. Make sure it is a photo of you only.
No File Chosen
File uploads may not work on some mobile devices.

References

References should be from non-related adults who can attest to your character and leadership skills. Personal friends are also not acceptable. One letter must be from a school official or teacher. The references you list must complete our online reference response form: click here. Share that link with your references.

Who should we be expecting references from?

Name (Reference 1)
Name (Reference 2)
Use your mouse or finger to draw your signature above

Interview Selection

You're Just About Done!

All applicants are required to participate in a group interview. The Interview Process includes a mini-workshop and group interview . All interviews will take place at Greater Miami Jewish Federation, 4200 Biscayne Boulevard Miami, FL 33137.

The Interviews will take place on:

Sunday, June 4th from 10:00AM - 12:00PM

Tuesday, June 6th from 6:30PM - 8:30PM

Monday, August 14th from 4:00PM - 6:00PM

Once you submit your application below, you will receive an email from Shoshana Brownstein confirming your attendance at your designated interview time.

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 Shoshana Brownstein at shoshanabrownstein@caje-miami.org /

305-576-4030 ext. 119

The Diller Teen Fellows program 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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