EXPLORE. CONNECT. FLOURISH.

Sign up here to to participate in Project Makom

The first half of this form will be used to populate a profile for you. Once we interview you, you will be given access to a database of volunteers that you can browse through and contact. If there is anything you do not wish volunteers to know but only want the three coordinators to know (Allison Josephs, Gavriella Lerner, and Mindy Schaper), please use the second space to provide that information.
This information will be kept confidential and will be viewed by Allison Josephs, Gavriella Lerner, and Mindy Schaper.

First Name (required)

Last Name (required)

City, County (required)

Phone Number (required)

Email Address(required)

Age

Marital Status

Occupation

What is your Jewish background?

Please describe your personality

What are you interested in gaining from project Makom?

Information for Project Makom coordinators

How did you hear about Project Makom? (required)

Which of there are you interested in?

Other:

We want to have regular classes, discussion groups, and Shabbatonim. What topics in Judaism do you want to dicuss/have questions about?

How often would you be interested in participating in classes/discussion groups on Jewish topics?

What general topics are you interested in learning about?

Other:

How often would you be interested in participating in classes/discussion groups on general topics?

What else would you like to see Project Makom offer?

Is there anything else we should know to help people?

Other comments and questions:

Please provide several references.

When is a good time to reach you by phone?:

If you want to sign up to be a mentor rather than a participant, fill out Volunteer form instead by clicking button bellow