Jewish-Latinx Youth Council of Northern Manhattan

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Jewish-Latinx Youth Council of Northern Manhattan - Application Form

A bi-weekly nine-month leadership program that brings together local Jewish and Latinx high-school-aged teens from Northern Manhattan (Washington Heights/Inwood) to work on relationship-building through the platform of social action projects, communal and identity exploration, and learning. All activity costs are covered.

First Name *

Last Name *

Email *

Cell Phone # *

Street Address *

Zip Code *

What is your current school grade (2022/23)? *

9th Grade

10th Grade

11th Grade

12th Grade

Do you identify as: *

Jewish

Latinx

Other:

Required

Why are you interested in joining the JLYC? Please limit response to 250 words. *

What skills would you like to develop as a member of the JLYC? What unique perspectives will you bring to our cohort? Please limit response to 250 words. *

Please provide the name and contact information of a non-family adult who can serve as a reference for you. *

Please provide the name and contact information of a parent or legal guardian who can consent to your participation in JLYC. *

A stipend will be offered to all students in the program. In order to receive the stipend, you will need to become either a social media ambassador or outreach ambassador. You will be required to sign an agreement outlining the expectations for receiving your stipend. Do you agree? *

Yes

Other:

Submit

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