Application for Jewish Federation Hudson County Micro-Grant

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* 1. Name

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* 2. Email Address

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* 3. Cell Phone -needed to Venmo reimbursement

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* 4. I live in:

Hoboken

Jersey City

Bayonne

East Newark

Guttenberg

Harrison

Kearny

North Bergen

Secaucus

Union City

Weehawken

West New York

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* 5. My age range

Under 18

18-25

26-34

35-44

45-54

55-64

65+

Other (please specify)

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* 6. Which of these statements, if any, apply to you? Please select all that apply.

I consider myself to be active in the Northern New Jersey/Hudson County Jewish community

I believe I lead an active Jewish life.

I would like to become more active in the Northern New Jersey/Hudson County Jewish community.

I am connected to being Jewish but don't actively participate in many Jewish things.

I find it difficult to participate in the Northern New Jersey/Hudson county Jewish community.

I feel welcome in the Northern New Jersey/Hudson County Jewish community.

I belong to a synagogue.

My child(ren) receive PJ Library books.

My child(ren) is/are under the age of five and I am raising them Jewish.

My child(ren) is/are between the ages of 5-13 and I am raising them Jewish.

My child(ren) is/are between the ages of 13-18 and I am raising them Jewish.

I am not raising my children with any real Jewish connection.

My children attend(ed) Jewish summer camp.

I have lived in Northern New Jersey/Hudson County for less than three years.

I have travelled to Israel.

I am part of a multifaith/interfaith family.

A member of my household was not born Jewish.

I am sending/plan on sending/or sent my kids to Jewish Day School.

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* 7. Tell us a little about you and your family (if you feel comfortable)

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* 8. Have you hosted a Micro-Grant event before?

Yes

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* 9. Have you attended a Micro-Grant event before?

Yes

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* 10. How did you hear about the Micro-Grant program?

A friend told me about it

A friend/family hosted a Micro-Grant and told me about it

I attended a Micro-Grant event as a guest.

I read about the Micro-Grants program in an email I received from a Jewish Organization.

Other (please specify)

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* 11. What type of event are you planning on hosting?

Shabbat event

Jewish Holiday celebration

A unique meaningful Jewish event

A Jewish book club

A Jewish speaker program

Other (please specify)

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* 12. On a scale of 1-10, how familiar are you with the work of Jewish Federation?

1 - I've never heard of Jewish Federation

It sounds familiar but I really don't know much

10 - I am very familiar with the work of Jewish Federation

Clear

i We adjusted the number you entered based on the slider’s scale.