Tuesday, 22 May 2012
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Please fill out this brief questionnaire to assist us in determining an appropriate internship/job placement for you and to facilitate your transition into the second year of the Lainer Interns for Jewish Education Program.
In addition, we ask that you provide us with regular updates of your information changes as you relocate to new areas (address, email, graduate school, jobs....) so that we can continue to be in touch with you.
Thanks for filling out the form, and we look forward to hearing from you soon!
Lainer-Masa Fellows Placement Questionnaire
Name
University or Program
Hebrew University
Tel Aviv University
Term(s) in Program
Fall
Spring
Returning to which North American university?
Expected graduation date (month/year)?
Permanent Home Address
University Address (if known)
Home Phone
Cell Phone
Email
Date of departure to North America
Date I will return to my college community: (date)
What are your plans for the upcoming summer?
Do you have an internship/job in the Jewish community for the upcoming academic year?
Yes, I already have an internship/job lined up for the upcoming academic year.
Please describe what you will be doing. If possible please provide your supervisor's name & contact info.
No, I do not yet have an internship/job for the upcoming academic year.
Please indicate what type of placement you are interested in.
Enter security code:
Jewish Education Service of North America
318 West 39th Street, 5th Floor New York, NY 10018
Tel 212.284.6950 | Fax 212.284.6951
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