Steering Committee Application

We're excited to have you as a Keshet Teen Leader!

Thank you for your interest in serving as a Keshet teen leader in the coming year! Please share your interest and ideas with us in the questions below and contact [email protected] if you have any questions.

When writing your responses to the application questions, please do so in a separate document and paste your responses in the appropriate text boxes. You cannot edit or save the form once you submit.

For which leadership opportunities are you applying?

2020 East Coast LGBTQ and Ally Teen Shabbaton Steering Committee2020 West Coast LGBTQ and Ally Teen Shabbaton Steering Committee

East Coast Shabbaton

Working closely with the Shabbaton co-chairs and Keshet staff, the steering committee will work together to design and implement programs at the LGBTQ & Ally Teen Shabbatonim, including discussions, panels, icebreakers, and Shabbat rituals that reflect the diversity of our community. Along the way, you’ll also make new friends and learn skills related to program planning and facilitation.

Requirements for the steering committee:

With the support of the Shabbaton co-chairs and Keshet staff, develop programs and rituals for the Shabbaton.
Meet regularly by Zoom conference call as a committee and co-chairs to discuss program development. (Exact schedule to be determined by the committee, co-chairs, and Keshet staff.)
Attend the 2020 East Coast LGBTQ and Ally Teen Shabbaton, on Friday, February 28th-Sunday, March 1st at Capital Camps and Retreat Center.
In terms of time commitment, steering committee members can expect to dedicate between 3-7 hours a month to Shabbaton planning. During the winter, calls, which last roughly 1.5 hours, occur every other week. As the Shabbaton draws near, calls will occur once a week and steering committee members will need to spend a few hours outside of our calls to plan their programs.
Steering committee members must be in grades 8-12 in fall 2019.

West Coast Shabbaton

Requirements for the steering committee:

With the support of the Shabbaton co-chairs and Keshet staff, develop programs and rituals for the Shabbaton.
Meet regularly by Zoom conference call as a committee and co-chairs to discuss program development. (Exact schedule to be determined by the committee, co-chairs, and Keshet staff.)
Attend the 2020 West Coast LGBTQ and Ally Teen Shabbaton, on Friday, March 20th-Sunday, March 22nd at American Jewish University-Brandeis Bardin Campus.
In terms of time commitment, steering committee members can expect to dedicate between 3-7 hours a month to Shabbaton planning. During the winter, calls, which last roughly 1.5 hours, occur every other week. As the Shabbaton draws near, calls will occur once a week and steering committee members will need to spend a few hours outside of our calls to plan their programs.
Steering committee members must be in grades 8-12 in fall 2019.

Contact Information

First Name

Your chosen name (the name you like to be called).
We will use this name when you check-in at the event.

Last Name

What is your legal / given first name (if different from above)?

We require this name on record for emergency and travel purposes. We will not use this publicly at the Shabbaton.

Which name would you like Keshet to use when communicating with you and your family by email and phone?

First Name (Chosen Name)Legal/Given NameThis is the name we will use for any phone or email communications with you.

E-mail

Phone Number

This is my

Alternate Phone Number

This is my

Address

City / Town	State/Province/Region
Zip / Postal Code	Country

Please use discretion when contacting me.

Personal Reference

Please share the contact information of someone who has supervised you in a leadership or extracurricular activity. (Be sure to ask their permission and let them know we might contact them.) If you have any questions about who constitutes an appropriate reference, please email Amram Altzman.
NOTE: Your reference should not be a relative or family member.

First Name

Last Name

E-mail

This is my reference's

Phone Number

This is my reference's

How do you know this person?

Steering Committee Open-Ended Questions

Why do you want to join the steering committee?*
As a member of the Steering Committee, describe how you will work with your peers to create community. What ideas and talents will you bring to bring to the Committee and the Summertime Shabbaton? (200 - 400 words)

What is one project or program that has strengthened your identity as an LGBTQ Jew?*
What was your role, and what did you learn about yourself and this community? (200 - 400 words)

Shabbaton Co-Chair Open-Ended Questions

Tell us about your goals and aspirations for this year’s Shabbaton.*
What motivates you to serve as a co-chair? What can we do as a team to make this year’s Shabbaton even more powerful than previous years’? What ideas and talents will you bring to bring to the team and the greater Shabbaton committee? How do you think Keshet can reach new teens and bring them into the Shabbaton community? (300 - 400 words)

Tell us about a leadership opportunity you’ve had (at school, in the Jewish or LGBTQ community, or in another extracurricular activity).*
What role did you play and what did you accomplish? Did you encounter any challenges in your work as a leader? How did you navigate these challenges? (200 - 400 words)

Tell us your story about being Jewish and an LGBTQ or ally teen. (Optional)
What excites you about these different parts of your identity? What’s challenged you? What have you learned about yourself in this process? (200 - 400 words)

General Open-Ended Questions

Tell us about your vision for an LGBTQ-inclusive community for Jewish teens.*
As a member of our Shabbaton leadership team, what are your hopes and goals for the Shabbaton? How will your work in planning a Shabbaton help you realize your vision for a more LGBTQ-inclusive community for Jewish teens? (100 - 200 words)

Anything else we should know? (Optional)
Are there any specific ways you need support from us, as Keshet staff? Is there anything you need us to know about working together? Is there something else important, but that you don't think fits into the questions above? Please let us know here! (200 - 400 words)

Admin Fields

Midwest Steering Committee Campaign ID

Parent/Guardian Contact Information

First Name

Last Name

E-mail

Note! Your parent/guardian will receive a copy of your registration confirmation email at this address.

This is my parent/guardian's

Phone Number

This is my parent/guardian's

Is your parent/guardian's address is the same as your address above?

YesNo

Address

City / Town	State/Province/Region
Zip / Postal Code	Country

Please use discretion when contacting my parent/guardian.

Registration Fee

Early Bird (until 4/8/16) - $18.00
Regular (4/9/16 through 4/15/16) - $36.00

If the registration fee presents a barrier to your attendance, or if someone else (synagogue, youth movement, etc) will be covering your registration free, please check the box below and contact Justin Rosen Smolen.

I am opting out of the registration fee and will contact Justin.

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Agender	Cisgender (non-trans) Man	Cisgender (non-trans) Woman
Gender Non-conforming	Gender Variant	Genderqueer
Intersex	Non-binary	Queer
Transgender Man	Transgender Woman	Not Listed

Asexual	Bisexual	Gay
Lesbian	Pansexual	Queer
Straight	Not Listed

He/Him/His	She/Her/Hers	They/Them/Theirs
Ze/Hir/Hirs	No Preference	No Pronoun
Not Listed

October 2019 (Trans)	September 2019 (Post High School)
September 2019 (Leadership Intensive)	May-June 2019 (Women and Girls)
March 2019 (East Coast)	March 2019 (West Coast)
October 2018 (Midwest)	August 2018 (Summertime)
April 2018 (Southeast)	March 2018 (East Coast)
March 2018 (West Coast)	August 2017 (Summertime)
March 2017 (West Coast)	March 2017 (East Coast)
May 2016 (West Coast)	March 2016 (East Coast)
February 2015	April 2014
January 2013