Peninsula Jewish Youth For Community Action (PJYCA) Application 2019-2020
Hi JYCA applicant! Thank you so much for applying to join JYCA.

We are looking forward to getting to know you! Please answer these questions as truthfully as possible. There are no right or wrong answers, and we are more interested in content than how well you spell. All information submitted is confidential.

If you are accepted, we will then send you further registration materials, including payment info. Tuition is a sliding scale from $800 - $1600, based on your family's access to wealth. Payment options and limited scholarships are available for those in need. We do everything possible to make JYCA accessible to everyone.
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Email *
Name: *
Birthday *
Are you in school? *
If so, where? *
If you're not, put n/a
Grade: *
If you're not in school, put n/a
If not, what are you up to?
How did you find out about JYCA? *
Do you know anyone in JYCA or anyone else who is applying? *
If so, who?
Are you affiliated with a synagogue or other Jewish institution?
If so, which one(s)?
What excites you about being part of an activist organization? *
Gender Identity
Optional
Race/Ethnicity
Optional
Sexual Orientation
Optional
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