Better Together in a Box! Summer 2020

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Please fill out this form to apply to receive Better Together in a Box for your teen program for Summer 2020. Better Together in a Box is a virtual Jewish intergenerational program - all inclusive curriculum - for teens.

Name of Organization *

Type of Organization *

School

Camp

Synagogue

Other:

Website of Organization (please preface with - https:// ) *

Name of Applicant *

Position of Applicant *

Email Address of Applicant *

Targeted Number of Students in Program *

Rising Grade Level of the Students *

Targeted Number of Senior Adults in the Program? *

Do you have a relationship already with a senior facility or group of seniors citizens *

Yes

If you answered "Yes" to the previous question, what is the name of the senior facility or the name of the organized group of seniors?

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