Iris Teen Tzedakah (Ongoing)

Iris Teen Tzedakah Application
MailChimp Tag (will autofill based on event name)
Name

First NameLast Name
School Email

Confirmation Emailexample@example.com
Non-School Email

Confirmation Emailexample@example.com
Mobile Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth

MonthDayYear
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I would describe my Jewish practice as:
Congregation affiliation, if any (Name and Location)
School Name
Grade as of September 2026
Jewish education (Please list any and all schools, synagogues, or youth groups with dates)
Please inform us below of any allergies and any dietary requirements you have.
Please enter "none" if not applicable
Family Information
Parent / Guardian Name

First NameLast Name
Parent / Guardian Email

Confirmation Emailexample@example.com
Parent / Guardian Cell Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent / Guardian Address (Please include only if different than student's)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent 2 / Guardian Name

First NameLast Name
Parent 2 / Guardian Email

Confirmation Emailexample@example.com
Parent 2 / Guardian Cell Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent 2 / Guardian Address (Please include only if different than student's)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Applicant Questions
In the Iris Teen Tzedakah program you will learn core values of community service and/or philanthropy. In one or two sentences, please explain to us why you think it is important to help our community?
What excites you most about Iris Teen Tzedakah?
What qualities make someone a strong leader? How do you demonstrate leadership in your school or community?
Describe a time when you worked as part of a team. What role did you play, what challenges did you face, and what goals did you accomplish?
The Iris Teen Tzedakah program meets mostly on Sunday from 12:30-2:30. In addition, there are a few weeknights and weekend activities. What other commitments have you made that could potentially conflict with this program? Please list them with their approximate time requirements (per week/month).
Complete these statements (in 5 words or less)
People would say I am…
I am committed to the cause of…
A person I admire is…

References

The reference should be from a non-related adult who can attest to your character and leadership skills. Personal friends are not acceptable.

Who should we expect a reference from?
Reference Name

First NameLast Name
Reference Email

Confirmation Emailexample@example.com
Reference Relationship
Should be Empty:

Iris Teen Tzedakah Application

Family Information

Applicant Questions

References

Who should we expect a reference from?