A New MAKOM program
Gain experience and skills as you work in community Jewish organizations and
businesses while connecting to other teens in four interactive seminars. You will gain
valuable work experience, create meaningful connections, and develop leadership skills.
Student Name______________________________________________ Grade
Home Address ___________________________________________________________________________________
_________________________________Student Email ____________________________________________
Parent Name____________________________________ Parent Name
Parent Cell _____________________________________ Parent Cell _______________________________________
Parent Email____________________________________ Parent Email ______________________________________
Why would you like to participate in this program?
What is your ideal internship?
Have you had any other work experience before? If so, list below and explain:
One of our goals in this program is to help participants gain valuable experience, create meaningful connections, and
develop their leadership skills. What do you think you can contribute to your internship?
How would your best friend describe you?
Return Completed form to 360 Amity Rd, Woodbridge, CT 06525 Attn: MAKOM/Avodah
or e-mail to email@example.com