Summit 2023 Application Form | Everyday Jewish Living

Thank you for your interest in the OU Women’s Initiative Lay Leadership Summit. Please complete this application form no later than March 30, 2023.

Name*

First Last

Address*

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

Cell phone (for conference related needs only. This number will not be shared.)*

Email*

Synagogue affiliation (name of Synagogue)*

Synagogue location*

City State / Province / Region Country

Synagogue Rabbi and Rebbetzin*

First Names Last Name

Current occupation and place of employment (if applicable)

Age range

I am involved in my community*

Select All
Synagogue
School
Mikvah
Bikur Cholim
Tzedaka initiative
Chesed initiative
Other

Please elaborate

Please list community boards, programs, initiatives, and volunteer work you have been involved with*

Challenges you face as a leader

I have participated in leadership training and/or women’s conferences before:*

Yes
No

Please indicate the name and host organization(s)*

If applicable, please list any specific lay leadership expertise that you have e.g., budgeting, organization, volunteering, etc.

Goal(s) I’d like to achieve at the Lay Leadership Summit:*

My community and/or I have benefited from the OU Women’s Initiative programs:*

Yes
No

Please list the programs*

I would like babysitting for my infant (up to 12 months)

Yes
No

Upon acceptance of your application, you will receive a payment form with additional summit related questions. Cost is $425. Travel expenses are not included. This event is generously subsidized by the Women's Initiative.