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* 1. Full Name

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* 2. Pronouns

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* 4. Phone Number

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* 5. College/University

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* 6. Major/Area of Study

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* 7. Anticipated Graduation Year

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* 8. Eligibility

  Yes No
I identify as Jewish
I am between 18-24 years old
I attend a college/university in Maryland, DC, or Virginia

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* 9. Why are you interested in the JCADA College Ambassador Program?

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* 10. What interests or excites you most about this program, and what do you hope to gain from it?

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* 11. How did you hear about this program?

Please share your availability below. Note that meetings will be held online for 60 minutes. We can not guarentee meeting times during your availability, but we will go with the majority of applicants.

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* 12. When are you available to meet?

  Morning (Between 9-12) Afternoon (Between 12-5) Evening (Between 5-8)
(except Friday)
Monday
Tuesday
Wednesday
Thursday
Friday
Sunday

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* 13. Are there any exceptions to the above dates and times?

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* 14. Is there anything else you'd like us to know?

Thank you for completing this application. We'll be in touch with next steps soon!

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