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Shinshinim Host Form

Host a Shinshin!

If you have any questions about this form, please contact the Shinshinim Hub Director or call 410.735.5035

Contact Information

Name - Spouse 1

First Name

Last Name

Name - Spouse 2

First Name

Last Name

Verify Email

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Phone

Verify Email

Names, genders and ages of all children in your home:

Does your family belong to a synagogue?

Yes

Our Home is:

Kosher

Not Kosher

Do you have an extra bedroom?

Yes

What months are you available to host? Mid-August through mid-December Mid-December through mid-April Mid-April through end of August.

Tell us what you like to do as a family

Do you have a pet?

Yes

Please provide names and contact information of other families you think would be great Shinshin hosts.

How did you hear about the Shinshinim Program?