Please Print This Application and Return to the Address Below Name: ________________________ Hebrew Name: _____________________ M/F ___ Address: ________________________________________ City, Province/State, Postal code/Zip: ___________________________________ Home Phone: ____________________ Business Phone: __________________ Fax Number: ____________________ E-Mail Address: __________________ Present Occupation: _____________________________________ Congregation: ____________________________________ Unaffiliated ______ Reform ___, Orthodox ___, Conservative ___, Recon ___, Renewal ___, Traditional ___ Address: ________________________________________ City, Province/State, Postal code/Zip: ___________________________________ Size of Congregation: _________________________ Two recommendations: Character Reference ______________________________________ Professional Reference (a synagogue professional, president or teacher ___________ General Professional and Educational Background: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Do you read Hebrew? ___ Describe your Jewish Professional and Educational Background (include your Hebrew and synagogue skills): ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Are you a high school graduate? __________ Please attach a page describing your personal Jewish commitment as it has evolved, together with a description of your present observance: Shabbat, Kashrut, and synagogue attendance. Please conclude by describing your motivation in applying to this programme. If you have one, please outline your proposed internship programme (duties, supervisor, congregation): ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Return to:   RA INSTITUTE FOR JEWISH LIVING                  & SCHOOL FOR SHAMASHIM                  ℅ Rabbi Roy D. Tanenbaum, Dean                  95 St. Joseph Street                  Toronto, ON M5S 1J4 Contact:     416.900.4796 or click here to e-mail Total cost for the 2011 Summer Session is $1950 US. (Early registration by February 1, 2011 is $1750.) Please submit $250 deposit endorsed to Rabbinical Assembly-Ontarion Region, your personal essay, and your two sealed recommendations with this application (deposits not refundable after April 1, 2011).