P2G Fellow Request for Information
This form is not a registration form.

For Q&A, fill in the details here or contact Shimrit Orgal, P2G Coordinator, at shimritor@jafi.org

Ready to register? Fill out the application form HERE
Registration to the program NO LATER THAN February 28, 2023

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Full Name *
Cell Phone Number *
Email Address *
Date of Birth (Month/Day/Year) *
Southeast Partnership Community *
How long have you lived in this community? *
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