OU Women’s Initiative Impact Institute Application Form

Thank you for your interest in the OU Women’s Initiative Impact Institute! This application is for the Professionals Track, specifically geared toward Orthodox female professionals with 3-5 years of working experience in the non-for-profit workplace.

Please note that this program includes mandatory sessions: One in-person, one-day seminar at the Orthodox Union office in Downtown Manhattan on Sunday, January 6th and another closing seminar in June. In between there will be 4 synchronous, virtual sessions. For both in-person seminars, participants are responsible for their own transportation/travel costs.

The cost for the program is $500, which will be subsidized by your Organization. There is an $18 Application Form Fee however, that is required to complete this application.

Please note the deadline for all applications is Friday, December 7th.

If you have any questions, please contact Rebbetzin Dr. Adina Shmidman at ashmidman@ou.org.

Name
First Last
Home Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Cell Phone Number
Email Address
Name of Your Organization
Your Position/role
Workplace Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Workplace Phone Number
Were you nominated for this program?
- Yes
- No
If yes, by whom?
Is he/she your direct supervisor?
What is his/her title/role at your organization?
What is his/her email address?
What is his/her phone number?
If you were not nominated for this program, how did you hear about it?
Please list your positions of employment, past and present, including dates and any other relevant details
Please briefly describe your current job at your organization (role and responsibilities.)
Please briefly describe why you believe you are an ideal candidate for this program.
Please list what you view as your 3 biggest strengths in relation to your role/non-for-profit work.
Please list what you view as your 3 biggest challenges in relation to your role/non-for-profit work.
Please list 3 personal/professional goals you would like to address through this program.
Please briefly describe where you see yourself professionally in 3-5 years.
Please list two references (not including the individual who nominated you.)
Reference Name
Reference Phone Number
Reference Email Address
Reference Title/Position/Organization
Application Form Fee: $18 Quantity
Price: $18.00
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
A feed is required!
- I understand that I am required to participate in all program sessions including one in-person, one-day seminar at the Orthodox Union office in Downtown Manhattan on Sunday, January 6th and another closing seminar in June, as well as 4 synchronous, virtual sessions in between.
- I understand that I am responsible for all transportation costs for both in-person sessions.