Application for the Title of Reform Jewish Educator - Association of Reform Jewish Educators

Application for the Title of Reform Jewish Educator

Fields marked with an * are required.

First Name *

Last Name *

Title

What is your current position title?

Under which category are you applying for the title of Reform Jewish Educator? *

Rabbinic Ordination

Cantorial Ordination

Master's Degree in Jewish Education

Master's Degree in Jewish Studies

Application must be a member in good standing of one of the following:

American Conference of Cantors (ACC)

Association of Reform Jewish Educators (ARJE)

Central Conference of American Rabbis

Years of Admission

Specify year of admission for the organization selected above.

Duties and Responsibilities

Institution Information

Organization

What is your current Institution Name?

Address Line 1

Address Line 2

City

State

Postal Code

Country

Phone

Home Address

Address Line 1

Address Line 2

City

State

Postal Code

Country

Phone

Education- Secular

Please request an official transcript form each academic institution to be sent to the registrar at rjecommision@gmail.com. If you need a mailing, address, contract the registrar directly.

20MB max

Name of College/University #1 *

Name of Degree and Graduation Year *

Name of College/University #2

Name of Degree and Graduation Year

Name of College/University #3

Name of Degree and Graduation Year

Education- Jewish

Please request an official transcript form each academic institution to be sent to the registrar at rjecommision@gmail.com. If you need a mailing, address, contract the registrar directly.

20MB max

Name of College/University #1 *

Name of Degree and Graduation Year *

Name of College/University #2

Name of Degree and Graduation Year

Names of College/University #3

Name of Degree and Graduation Year

Supervised Internship in Education
For each position, please provide the information requested and a brief description of duties and responsibilities. The supervising institution must be an academic degree-granting institution.

Name of Academic Supervising Institution #1

City/State/Province

Supervisor's Name

Supervisor's Position or Title

Place you worked while in Supervised Institution

Total number of hours of Supervised Internship at above

Dates of Internship

Duties and Responsibilities during Supervised Internship

Name of Academic Supervising Institution #2

CIty/State/Province

Supervisor's Name

Supervisor's Position or Title

Place your worked while in Supervised Internship

Total number of hours of Supervised Internship at above

Dates of Internship

Duties and Responsibilities during Supervised Internship

Experience in Jewish Settings
Teaching or Group Work

Institution Name #1

City/State/Province

Dates of Experience

Position Title

Duties and Responsibilities

Institution Name #2

City/State/Province

Dates of Experience

Position Title

Duties and Responsibilities

Institution Name #3

City/State/Province

Dates of Experience

Position Title

Duties and Responsibilities

Supervision/Administration

Institution Name #1

City/State/Province

Dates of Experience

Position Title

Duties and Responsibilities

Institution #2

City/State/Province

Dates of Experience

Position Title

Institution Name #3

City/State/Province

Dates of Experience

Position Title

Duties and Responsibilities

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