Melbourne- Diller Teen Fellows Nomination Form- 2020-2021

Diller Teen Fellows Nomination Form: 2020-2021

NOMINATIONS DUE: 30th August

Thank you for taking time to nominate a teen for the Diller Teen fellows program! We are looking to build a pluralistic cohort that represents the diversity of the Melbourne Jewish community, and our nominators help us to engage Jews who come from different backgrounds, attend a variety schools, and connect with Judaism in individualised ways.

Please nominate current year 9 or 10 students who demonstrate outstanding leadership qualities, dedication to community service, an interest in Jewish learning, and would like to strengthen their ties with Israel. Further qualities include: a commitment to contributing to the Jewish community, exceptional cooperation in peer groups, outstanding communication skills, and a demonstration of maturity and thoughtfulness.

Diller Teen Fellows (Diller) is a year-long teen leadership program. Throughout the Program and together with our counterpart group in the Golan Heights, Israel, Fellows will develop leadership skills, explore their Jewish Identity and connections to Israel and engage in meaningful Tikun Olam (social justice) opportunities. Additionally, Fellows have the opportunity to participate in two incredible seminars: hosting Israeli teens for 10 days in their homes in Autumn 2021, and participation on a three-week trip to Israel in Winter 2021.

The Diller experience empowers its teens to be active, effective leaders with a strong Jewish identity and a respect for pluralism.

Being part of Melbourne's Diller Teen Fellows Program stimulates significant personal and communal growth. More details about Diller Teen Fellows programs can be found here, of through the ZFA page.

If you have any questions, please contact Shlomit Weidenfeld, Melbourne Coordinator at 0402 222 422 or dillertf@zfa.com.au .

Your Information

Your Name*

First Name

Last Name

Jewish Agency & Title (if applicable)

Your Phone*

Your Email*

What is your relationship to the person you are nominating?*

Nominee Information

Name of Nominee*

First Name

Last Name

Current Year Level*

High School

Nominee's Email

Phone

Parent's name (please list one)

First Name

Last Name

Parent's Email

Affiliations: Organization/School/Youth Group/Synagogue

Please rank the nominee in regard to their ability to demonstrate exceptional...*

Please rank the nominee in regard to their ability to demonstrate exceptional...
	5	4	3	2	1
Leadership qualities, communication skills, maturity and thoughtfulness	Please rank the nominee in regard to their ability to demonstrate exceptional...: Leadership qualities, communication skills, maturity and thoughtfulness (5)	Leadership qualities, communication skills, maturity and thoughtfulness (4)	Leadership qualities, communication skills, maturity and thoughtfulness (3)	Leadership qualities, communication skills, maturity and thoughtfulness (2)	Leadership qualities, communication skills, maturity and thoughtfulness (1)
Cooperation in peer groups, thriving in a process oriented, small group setting	Cooperation in peer groups, thriving in a process oriented, small group setting (5)	Cooperation in peer groups, thriving in a process oriented, small group setting (4)	Cooperation in peer groups, thriving in a process oriented, small group setting (3)	Cooperation in peer groups, thriving in a process oriented, small group setting (2)	Cooperation in peer groups, thriving in a process oriented, small group setting (1)
Dedication to community service, social action, and/or volunteerism	Dedication to community service, social action, and/or volunteerism (5)	Dedication to community service, social action, and/or volunteerism (4)	Dedication to community service, social action, and/or volunteerism (3)	Dedication to community service, social action, and/or volunteerism (2)	Dedication to community service, social action, and/or volunteerism (1)
Interest in Jewish learning and a commitment to contributing to the Jewish community	Interest in Jewish learning and a commitment to contributing to the Jewish community (5)	Interest in Jewish learning and a commitment to contributing to the Jewish community (4)	Interest in Jewish learning and a commitment to contributing to the Jewish community (3)	Interest in Jewish learning and a commitment to contributing to the Jewish community (2)	Interest in Jewish learning and a commitment to contributing to the Jewish community (1)
Willingness to engage in self-evaluation and to accept constructive criticism	Willingness to engage in self-evaluation and to accept constructive criticism (5)	Willingness to engage in self-evaluation and to accept constructive criticism (4)	Willingness to engage in self-evaluation and to accept constructive criticism (3)	Willingness to engage in self-evaluation and to accept constructive criticism (2)	Willingness to engage in self-evaluation and to accept constructive criticism (1)
Desire to strengthen their ties with Israel and an awareness of issues concerning Israel	Desire to strengthen their ties with Israel and an awareness of issues concerning Israel (5)	Desire to strengthen their ties with Israel and an awareness of issues concerning Israel (4)	Desire to strengthen their ties with Israel and an awareness of issues concerning Israel (3)	Desire to strengthen their ties with Israel and an awareness of issues concerning Israel (2)	Desire to strengthen their ties with Israel and an awareness of issues concerning Israel (1)

scale of 1-5, 5 being the highest

Thank you for taking the time to nominate an outstanding teen!