JDC Interface Fellowship Application Cohort II
October 2013- September 2014

Warning: Interface is now seeking a select group of passionate philanthropists who are prepared to embark on two immersive journeys outside of the USA (6-8 days each) in areas of great poverty and humanitarian need. Over a period of 12 months, you will engage in high-intensity conversation, exploration, and action—with the goal of transforming Jewish compassion into action.

Trip dates for the 2013-2014 Interface Fellows:
Trip #1: October 6-10, 2013
U.S. based retreat: March 2-3, 2014
Trip #2: September 8-15, 2014
*dates are approximate

General Information:

 
First Name*
Last Name*
Gender
Date of Birth*

 

Mailing Address

 
Street Address*
Address Line 2
City*
State/Province/Region*
Country*
Zip Code

 

 

Contact Information

 
Home Phone*
Cell Phone*
Business Phone
Email*

 

About You


Max. 2000 characters per question
How did you learn about the Interface fellowship?
Please attach your résumé
How do you envision the Interface fellowship relating to the core priorities and concerns in your life today?
What are you looking to learn professionally and personally during the course of this fellowship?
Interface places significant emphasis on philanthropic journeys. This fellowship is for currently active philanthropists, please relate to your philanthropic endeavors thus far, and in doing so, please share any motives and strategies for giving as well as outcomes.
What qualities and or experiences do you bring to the group experience and conversation?
How would you define your relationship with Judaism and Jewish life?
Please list any other organizational affiliations, membership in professional associations, societies, etc.

 

Physical Condition

 

Do you have any physical impairment that could interfere with your ability to participate in the program?*

Do you have any mental health issues that could interfere with your ability to participate in the program?*
If you answered “yes” to either of the above, please describe.

 

Terms of Enrollment

 
I understand that, as a condition of program participation, I will be required to sign a JDC release, agreement, and submit medical records.
I understand that, as a condition of program participation, I will be required to take part in pre-trip briefings.
I understand that, as a condition of program participation, I will be required to participate in all organized activities.
I understand that I will be traveling with the American Jewish Joint Distribution Committee (JDC) and that I will be experiencing communities and needs overseas.
The Interface Fellowship is generously supported by The Skirball Foundation and JDC. I understand that the Interface fellows are responsible for their own flight costs.

 

Additional Information

Have you ever been arrested and/or convicted of a felony or misdemeanor?*