Returning Madrichim Application 2022/2023

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for applying to return to the Madrichim program for this upcoming school year. More than ever, having qualified, dedicated, and committed teens will be key to the success of our programs. Part I of the application process is completing the application below. Once we receive your application, Emily will reach out to you to set up a Zoom interview at your convenience. There will be opportunities for both in person and virtual classes. Please reach out to Emily at egreenfeld@wbtla.org with any questions!

First Name *

Last Name *

Preferred Name (Nickname)

Preferred Pronouns *

Home Address *

Age *

What is your grade level for the 2022-2023 school year? *

What school will you be attending for the 2022-2023 school year? *

What is your email address? *

What is your cell phone number (with area code)? *

What is the best way to contact you? *

Cell phone (call)

Cell phone (text)

Which days, times, and campus are you most interested in? (Please check all that apply) *

Sunday Morning at Irmas

Sunday Morning at Irmas (Taking the bus from University Campus)

Sunday Morning at Glazer

Wednesday Afternoon at Irmas

Virtual Religious School - Monday Afternoon

Required

What extracurricular activities do you participate in? Any hobbies or special interests? *

What teacher did you work with in the past, or is there a teacher you've ever had that left an impression on you? This impression may be positive or negative. What did you learn from the experience(s)? *

What was your favorite thing about being part of the Madrichim program? *

What grade did you work with last year? *

What grade(s) would you like to work with this year? Tell us why! *

In what ways do you think we could better support your growth in the Madrichim Program? AKA - what can WE do better for you! *

I would be interested in potentially helping to manage the Bagel Cafe on Sunday mornings (this means arriving on campus no later than 8:15 a.m.) I want to know more about this opportunity! *

Yes

Maybe! What is this?

I understand that there will be an orientation at the end of the summer, and Madrichim meetings and trainings during the school year. I will receive plenty of advance notice with the meeting times. *

Yes

I understand that the Madrichim program is part of WBTY and look forward to other opportunities for teen engagement.

Yes

Maybe

Clear selection

Is your family a member of Wilshire Boulevard Temple: *

Yes

I don't know

Parent/Guardian Contact Information

Parent/Guardian Name: *

Parent/Guardian Cell Phone: *

Parent/Guardian Email: *

All applicants must participate in a Zoom interview as part of the selection process. Once your application is received, you will be contacted by Emily Greenfeld, Youth Engagement Coordinator, to schedule a virtual interview. Questions? Please feel free to reach out to Emily Greenfeld at either 602-677-3193 by text or phone call, or egreenfeld@wbtla.org. We’re looking forward to speaking with you!

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Wilshire Boulevard Temple. Report Abuse

Forms