Name
*
First Name
Last Name
Non-School Email
*
example@example.com
Cell Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
University
*
Graduation Year
*
Major(s) (and minor(s) if applicable)
High School
*
Home Address (non-school)
*
How did you hear about LIAT?
*
Share with us a little bit about yourself, your plans for the future, and what brings you to apply for the LIAT fellowship:
*
(250 words or less)
0/250
What challenge is the Jewish community on your campus or broader community facing?
*
(250 words or less)
0/250
Political activism is a means of advancing the values and interests of a community. What is a key value or interest that is important to you - that politics affects - and why?
*
(250 words or less)
0/250
What specific skills or knowledge do you hope to gain from LIAT?
*
(250 words or less)
0/250
Where do you see yourself in five years? How do you see yourself being involved with politics and advocacy after graduation?
*
(250 words or less)
0/250
Would you like to apply for the LIAT New York fellowship? *Please see website for additional details about this. Please note that while this is limited in space, you can still be accepted for the LIAT Fellowship even if you are not accepted into the New York Fellowship. Also, you can be located in NY and opt to not apply for this as this is for individuals who would like to seek active engagement in local NY politics with an aspiration for elected office.
*
Yes
No
Please tell us about your interest in local NY politics and what type of office you would be interested in interning at. Examples include Governor's Office, Mayor's Office, City Council, NYS Assembly or NYS Senate Offices etc.
The New York Fellowship is interested in building up the next generation of Jews running for public office in NY. In what ways can we support you in this goal? What are challenges that you may face on this journey toward elected or public office?
Please provide one professional reference. This can also be someone such as a JLIC Director on your campus.
*
Name and Email Address
Please attach a copy of your resume
*
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