Jewel Certificate Program Application

Personal Information

Your Name*

First Middle Last

Please include prefix with first name

Date of Birth*

Hebrew Name*

Preferred Name

Email*

Phone*

Current Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Is your current address the same as your permanent address?*

Yes
No

Permanent Address*

Street Address Address Line 2 City State ZIP Code

Marital Status*

Single
Married
Divorced
Widowed

What is your wife’s name including title?

Do you have any children?

Yes
No

Please list your children’s names and ages

Program Information

How did you hear about YCT?*

YCT Student or Musmakh
Family member
Rabbi
Friend
Meorot Fellowship
College Campus VIsit
Facebook Ad
Google
Other

If you were referred by an individual, please indicate that individual's name

If "Other", please describe how you heard about YCT.*

Intended Year of Matriculation*

Other positions or graduate schools to which you are applying:

Parent Information

Parent 1 Name & Title

Prefix First

Last

If this parent is deceased, please check here and move to the next section

Parent 1 Address

Street Address Address Line 2 City State ZIP Code

Parent 1 Phone

Parent 1 Email

Parent 1 Occupation

Parent 2 Title & Name

Prefix First

Last

If this parent is deceased, please check here and move to the next section

Parent 2 Phone

Parent 2 Email

Parent 2 Occupation

Are Your Parents

Married
Divorced
Separated
Other

Have you or your parents or grandparents undergone a conversion to Judaism?*

Yes
No

Please explain.

General Education

List each school you have attended:

Elementary Schools (Name, Date & Location)*

Middle School (Name, Date & Location)*

High School (Name, Date & Location)*

List Any Additional Schools You Have Attended With Dates

Undergraduate Education (Name & Location)*

Degree Awarded*

Major(s)*

GPA*

Graduate Education (Name & Location)

Degree Awarded

GPA

What language(s) do you speak?*

Areas of Jewish Study

Please List The Yeshivot You Have Attended*

Please describe your background and proficiency level in the following areas. Please include specific content you have learned in each area. Tanakh, Mishna, Gemara, Rishonim, Halakha, and Jewish Thought.*

What are your intellectual interests or specialized areas of study (Jewish and/or secular)?*

Leadership Experience

Please describe 2-3 meaningful leadership experiences you have had and how they have impacted your desire to become a Jewish communal educator or leader.

Awards and Scholarships

Please list any awards or scholarships not mentioned in your resume.

Personal Interests

Please list other non-academic interests, hobbies, and talents:*

Personal History

If you answer “yes” to any of the questions below, you will have the opportunity to elaborate later on in this section. This information will be kept confidential.

Have you ever had to interrupt study or work for any period of time owing to physical, medical or emotional issues?*

Yes
No

Do you have any physical condition or medical problem that has required or still requires professional care that might limit your activity in any way?*

Yes
No

Have you ever been treated for mental or emotional illness or substance abuse?*

Yes
No

Have you ever been the subject of disciplinary inquiry or procedure in your place of employment or academic institution?*

Yes
No

Have you ever been convicted of any crime in a court of law?*

Yes
No

Have you ever had a drug or substance abuse problem?*

Yes
No

If you have answered any of these questions affirmatively, please explain fully below.

Is your observance fully in line with traditional halakha and Orthodox norms?*

Yes
No

If not, please explain:

Is there anything else we should know or that you would like to share with us?

Personal Statements

Please answer the following questions in the form of personal statements within 600 to 800 words. Please note that you can save your work and continue at a later time should you wish to do so.

1. Please describe the development of your interest in becoming a Jewish communal educator or leader, with special emphasis on the important experiences that shaped your passion (i.e., Jewish experiences, family influences, role models, ideas, etc.).*

2. What kind of Jewish communal professional do you want to be? What are your professional goals? What is your vision for the Jewish community and how do you see yourself actualizing this vision?*

3. How does your Ahavat Hashem, Yir’at Hashem/Yir’at Shamayim, spirituality, morality inform or not inform your religious practices and ethos?*

References

Please list the three references from whom you expect a letter of recommendation. They should include one rabbinic reference, one academic reference and one personal reference. It is the responsibility of the applicant to ensure that all 3 letters of recommendation are mailed or emailed directly to YCT (admissions@yctorah.org).

Reference #1 Name*

Prefix First

Last

Reference #1 Email*

Reference #1 Phone*

Reference #2 Name*

Prefix First

Last

Reference #2 Email*

Reference #2 Phone*

Reference #3 Name*

Prefix First

Last

Reference #3 Email*

Reference #3 Phone*

By affixing my name here, I attest that all the information in this application is true and accurate.*

First

Last

Please upload a recent photo of yourself.*

Accepted file types: jpg, gif, png, Max. file size: 256 MB.

Upload a resume*

Max. file size: 256 MB.

Upload a writing sample (optional)

Max. file size: 256 MB.

Date