M54 Shluchos Cohort 3 Application Form

Welcome to M54 Shlichos - Shluchos Edition Cohort 3, a program that aims to give agency to Shluchos to make the important changes that invigorate their personal and Shlichus lives.
Please use this form to apply.
After receiving your application we'll set up a time to have a zoom chat to learn about each other and to see if this experience is a fit for you.

This M54 Shlichus cohort is limited to 10 Shluchos.

Warmly,
Chanie

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* 1. Share some contact details and your location.

Name

Chabad of ....

Address

City/Town

State/Province

ZIP/Postal Code

Country

Cell Phone

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* 2. How many years have you been on Shlichus?

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* 3. You are on Shlichus in a

College Campus

Community

Other (please specify)

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* 4. Describe a challenge or two that you are confronting in your Shlichus.

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* 5. I am joining this experience seeking…? (Please note at least two points).

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* 6. I can commit to fully participating in this cohort, 20 zoom sessions and a 4-day retreat.

Yes

I will have difficulty participating in the retreat (please explain)

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* 7. Tuition Cost

I'm comfortable with the $1,500 tuition

I'm a spouse of an M54 participant and prefer the $1,000 tuition

I'm requesting a scholarship

What is the tuition amount you are comfortable paying?

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* 8. Where did you hear about M54 Shlichus?

It was recommended by a past participant

It was recommended by someone else

From email or whatsapp

Other (please specify)

M54 Shluchos Cohort 3 Application Form

Question Title

* 1. Share some contact details and your location.

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* 2. How many years have you been on Shlichus?

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* 3. You are on Shlichus in a

Question Title

* 4. Describe a challenge or two that you are confronting in your Shlichus.

Question Title

* 5. I am joining this experience seeking…? (Please note at least two points).

Question Title

* 6. I can commit to fully participating in this cohort, 20 zoom sessions and a 4-day retreat.

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* 7. Tuition Cost

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* 8. Where did you hear about M54 Shlichus?

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* 9. Any thoughts or comments you'd like to share?