Hillel Ontario · Zac Kaye Leadership Fund Application 2018

Contact Information

Name

*

First Name

Last Name

Email

*

Verify Email

*

Preferred Phone Number

*

Current Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Permanent Address (If different from above)

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Parent #1

*

First Name

Last Name

Parent #1 Email

*

Verify Email

*

Parent #2

First Name

Last Name

Parent #2 Email

Verify Email

Campus

*

If other:

*

Graduation Year (YYYY)

*

I am a...

*

Undergraduate Student

Graduate Student

Community member

Recent alum

Field(s) of study

*

Please provide a detailed description of your leadership activities and community service to date.

*

What program are you applying funding for?

*

When does the applied for program begin and end?

*

What is the total cost of the applied for program including registration, transportation, lodging, etc.? Please provide a breakdown of expected expenditures.

*

What do you hope to achieve from participation in the applied for program?

*

How will the Jewish community, and where applicable Hillel, benefit from your participation in the applied for program?

*

What other sources of funding have you applied for, received, or expect to receive for the applied for program?

*

How did you hear about the Zac Kaye Leadership Fund?

*

Upload Letters of Reference Here (Letters of Reference may also be emailed directly by the referrer from an institutional email account to anita.robins@hillelontario.org or sent by post to The Wolfond Centre for Jewish Campus Life, 36 Harbord Street, Toronto, ON M5S 1G2).

Reference #1

*

Please attach 1 reference letter or a blank document if a letter will follow by email. All reference letters should be written on company letterhead.

Reference #2

*

Please attach a 2nd reference letter or a blank document if a letter will follow by email. All reference letters should be written on company letterhead.

Upload resume here

*

By submitting this application I agree to have my name and likeness used by Hillel Ontario and to make at least one presentation to the Board of Governors of Hillel Ontario upon successful completion of my applied for program.

*

I agree