2016 YA Ambassador Application If you have any questions about the application to or participation in the 2016 Young Adult Ambassador Program, please contact Jennie Gates Beckman at 410-843-7449 or jbeckman@ajfca.org. Question Title * 1. Contact information for professional applicant: Name: * Title: * Agency: * Address: * City/Town: * State: * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: * Date of Birth: (MM/DD/YYYY) Email Address: * Phone Number: * Question Title * 2. Length of time you have been with your agency: Question Title * 3. Length of time you have been in your current position (if this is less than your answer to the previous question): Question Title * 4. Contact information for volunteer applicant #1: Name: * Date of Birth: (MM/DD/YYYY) Email Address: * Question Title * 5. Please share a sentence or two describing volunteer #1's past & current involvement with your agency and/or the larger Jewish community, and why you selected them for this initiative: Question Title * 6. Contact information for volunteer applicant #2: Name: * Date of Birth: (MM/DD/YYYY) Email Address: * Question Title * 7. Please share a sentence or two describing volunteer #2's past & current involvement with your agency and/or the larger Jewish community, and why you selected them for this initiative: Question Title * 8. How is this demographic currently being engaged by your agency as well as other Jewish organizations in your community? Question Title * 9. How many of your current agency board members fall in this age range (21-39)? Question Title * 10. Do you currently have a formal program or strategy for young adults? (If yes – please include information on your program/strategy in your response) Question Title * 11. Describe your agency's participation in the Repair the World Campaign for Racial Justice during MLK Weekend. How many people participated? (In order to be chosen you must have hosted at least one event) Please include a link to photos of your event (or email at least one photo to Jennie if they aren't posted online). Question Title * 12. Are your board members and agency professionals on board re: the significance of young adult participation to the future of the agency? Please share an example of how you know this is true. Question Title * 13. Do you feel you have the support to encourage full participation in this project? Question Title * 14. Which of the 5 components outlined in the program overview document do you anticipate being most aligned with the strengths of your agency and which do you anticipate being the most challenging? Please explain your answers. Question Title * 15. Outline 2-3 ways in which you believe your agency could better engage their peers in the work of your agency through this fellowship. Question Title * 16. I acknowledge that I have fully read the document "2016 Ambassador Overview & Application Guidelines". By typing my name in this box, I verify that I have reviewed this document with my direct supervisor as well as my CEO, and they both support our agency's participation in this project. We have limited space in this program. We will review all submissions and respond to each applicant no later than January 29th. Agencies who apply but are not accepted are welcome to join us for our Annual Conference in San Diego and participate in Volunteer/Young Adult Engagement track sessions which are open to all conference-goers, provided they are able to secure their own funding. Done