Madrichim Application 2023-2024 - Form - Temple Emanuel of Tempe

* Student First Name

* Student Last Name

* Preferred Pronoun

Preferred Name/Nickname

* Student Email

* Student Phone Number

* T-Shirt Size

* Have you served as a Madrich in the past?

* Would you be interested in serving as a Mentor Madrich/Madrichah/Madricheh to new Madrichim?

YesNo

* What do you think is important for us to know when reviewing your submission and determining placement?

What do you think is important for us to know when reviewing your submission and determining placement?

* Rate your comfort and experience with Hebrew from 1-10. 1 being not confident and 10 being very confident.

* I agree to attend periodic trainings/meetings before school starts and during the school year (as able)

YesNo

* Do you have any allergies?

If yes, please note what allergies. If no, write n/a.

* What are your interests and hobbies?

* I realize that being a Madrich/Madrichah/Madricheh means that I also need to be enrolled in and attending classes on Wednesdays

I realize that being a Madrich/Madrichah/Madricheh means that I also need to be enrolled in and attending classes on Wednesdays

* Parent First Name

* Parent Last Name

* Parent Email

* Parent Phone Number