Commission on Interreligious Affairs of Reform Judaism

Union for Reform Judaism – Central Conference of American Rabbis – Hebrew Union College-Jewish Institute of Religion – North American Federation of Temple Brotherhoods/Jewish Chautauqua Society – Women of Reform Judaism

 

 

Application Form: Open Doors, Open Minds Implementation

 

(PLEASE TYPE OR PRINT CLEARLY)

 

Date Submitted __________

 

CONGREGATION:

 

            Name______________________________________________________

 

            Address___________________________________________________

 

            City_________________________State________________Zip_______

 

            Phone_______________________

 

PROGRAM CONTACT:

 

            Name(s) & Title(s)___________________________________________

 

            __________________________________________________________

 

            E-MAIL ___________________________________________________

 

TITLE OF PROGRAM______________________________________________

 

PROPOSED LOCATION____________________________________________

 

SPECIFIC AMOUNT REQUESTED $__________________________________

 

DATE(S) PLANNED_______________________________________________

 

Anticipated Number of participants_______

 

ABSTRACT (a brief (250 words or less) description of program, including (1) objectives, (2) target populations (3) significance:

 

 

 

 

 

 

 

NARRATIVE DESCRIPTION OF PROGRAM

 

Please describe, at greater length, the specific target audience(s), Judaic content, practicability, financial and organization contributions (if any) from local Christian clergy and ministerial associations and other forms of co-sponsorship of the program.  The Committee will be particularly interested in the details of your proposed partnership with a local church.

(Attach additional pages as necessary)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BUDGET

 

Please itemize the following expenses and indicate other sources of income.  You may use an additional page if needed.

 

EXPENSES:                                                REVENUES:

 

Printing_________________                   Temple:______________

 

Mailing__________________                  Other Partners:___________

 

Honorarium______________                 

 

Travel___________________                  Local Interfaith Council____

 

Publicity_________________                 Individual Donors___________             

 

Rentals__________________                 Other (     )_______________

 

Food____________________

 

Administration____________

 

Other(     )________________

 

Total____________________

 

IT IS IMPERATIVE THAT ALL PUBLICITY INCLUDES MENTION OF THE SPONSORSHIP OF THE JEWISH CHAUTAUQUA SOCIETY (JCS) AND WOMEN OF REFORM JUDAISM (WRJ)

 

 

 

PLEASE RETURN A COPY OF THIS PROPOSAL TO:

MARK PELAVIN, DIRECTOR

COMMISSION ON INTERRELIGIOUS AFFAIRS OF REFORM JUDAISM

2027 MASSACHUSETTS AVENUE, N.W.

WASHINGTON, D.C.  20036

FAX: 202-667-9070

EMAIL: INTERRELIGIOUS@URJ.ORG