JEWL Application
Jewish Executive Women’s Leadership (JEWL)
2019-2020 Application
Step 1 of 2
50%
Section 1: General Information
Personal
Name
*
First
Last
Email Address
*
Hebrew Name
Mother's Hebrew Name
Date of Birth (mm/dd/yyyy)
*
Gender
*
Male
Female
Marital Status
*
Single
Engaged
Married
Divorced
Widowed
Country of Citizenship
How did you hear about JEWL?
Please enter the name of the referring individual or organization if applicable:
Contact Information
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Cell Phone
*
Work Phone
Emergency Contact
*
First
Last
Relationship
Emergency Contact Phone
*
Education
Undergraduate Institution
*
Undergraduate Major
Year of Graduation (Undergrad)
*
Graduate School (write NA if not applicable)
*
Year of Graduation (Grad School)
*
Employment (Mandatory if Graduated)
Current Employer (write NA if not applicable)
*
Job Title
Dates of Employment
Previous Employer
Job Title
Dates of Employment
What are your career or educational plans for next year? Include location if confirmed
Family and Jewish Background
Parents' Information
First and Last Names
Street Address
City / State / Zip
Phone Number
Email Address
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Was your father born Jewish?
*
Yes
No
Was your mother born Jewish?
*
Yes
No
Parents' Jewish Affiliation
*
Were all your grandparents born Jewish?
*
Yes
No
If no, please explain:
What, if any, Jewish education have you had?
*
Did you ever attend Hebrew School?
Yes
No
If you attended Hebrew School, how many years did you attend?
What was the Jewish affiliation of your Hebrew School?
Did you ever attend Jewish Day School?
Yes
No
If you attended Jewish Day School, how many years did you attend?
What was the Jewish affiliation of your Day School?
Your current Jewish affiliation:
*
How would you describe your Hebrew reading skills?
Do you currently participate in any Jewish organizations?
*
If so, which ones and how often?
Have you ever been to Israel?
*
Yes
No
If so, in what context? (e.g. Bar/Bat Mitzvah, Year Abroad, March of the Living, Birthright Israel, Yeshiva study, etc.)
What types of Jewish experiences have you had? (e.g. Bar/Bat Mitzvah, youth group, fraternity/sorority, etc.)
*
Personal Interests
What extracurricular activities, hobbies and organizations are you involved in? Please describe your participation in them:
My top 4 priorities in life are:
*
Section 2: Short Essays
(Limit 3000 characters per answer)
QUESTION 1: Tell us about a current challenge facing the Jewish community and why you are passionate about it. How would you address this challenge?
*
QUESTION 2: Please share one of your most rewarding leadership experiences from either your professional, communal and/or academic careers. What was it about this experience that stands out?
*
QUESTION 3: Who do you consider a Jewish female role model to you personally, in what way, and why? How has this individual shaped your perspective on what it means to be a Jewish woman? Describe.
*
QUESTION 4: Describe your philanthropic experiences and passions.
*
QUESTION 5: What personal qualities will you contribute to JEWL, and what personal qualities do you want to develop? What do you hope to gain from the program on a personal level?
*
