AFP Application Form

Name *

Home Address *

Home Address

City

State/Province

Zip/Postal

Phone Number *

Email Address *

Date of Birth *

Nominating Organization *

Who are the two individuals from your organization who will be sponsoring you? *

What is your current position in this organization and when will you be assuming the top leadership position? *

General Education Background

(Please list in reverse chronological order.)

Institution, City *

Dates *

Major/Degree *

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Jewish Experiences: *

Israel Experience (list number of times) *

Family trip as youthFamily trip as youth

Family trip as adultFamily trip as adult

Summer trip with peersSummer trip with peers

Synagogue trip or organization missionSynagogue trip or organization mission

Lived in Israel (if so, how long)Lived in Israel (if so, how long)

Study in IsraelStudy in Israel

Other (please describe)Other (please describe)

None

Have you participated in other formal leadership development programs, experiences or training? *

(Please list and briefly describe them.)

Please list all relevant achievements or recognitions that the ACHARAI selection committee should know about in considering your application: *

Are you a dues paying member of a synagogue? *

Yes

No

If yes, which one? *

Community Service

List the organizations in which you have been most involved as a volunteer and briefly describe the nature of your involvement. Include Jewish and nonsectarian, communal and professional organizations. List in reverse chronological order. (A resume with this information is acceptable.)

Organization *

Title *

Involvement *

Time Frame *

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Work History

Please indicate your employment history in reverse chronological history. (A resume with this information is acceptable.)

Organization *

Title *

Time Frame *

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Personal Insights

(Please limit to 500 words for each one.)

What principles inform your leadership? *

Of what personal or leadership accomplishments are you most proud? Why? *

Who is the leader, living or deceased, who you admire most and why? *

What would you consider the 3 most pressing challenges facing your nominating organization today? *

What would you consider the 3 most pressing challenges facing the Greater Baltimore Jewish Community? *

Related to these specific challenges, what knowledge, skills and/or abilities do you want to hone through the participation in the AFP, and why these skills? *