JYCA Application - Jewish Youth For Community Action
We are looking forward to getting to know you! There are no right or wrong answers, and we are more interested in content than how well you spell. All information submitted is confidential. Thank you for your interest in JYCA!

This is the application. If you are accepted, we will then send you further registration materials, including payment info. Tuition is sliding scale from $800 - $1200, based on income. Payment options and limited scholarships are available for those in need. We do everything possible to make JYCA accessible to everyone.
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Name: *
Birthday *
Are you in school? *
If so, where? *
If you're not, put n/a
Grade: *
If you're not in school, put n/a
If not, what are you up to?
How did you find out about JYCA? *
Do you know anyone in JYCA or anyone else who is applying? *
If so, who?
Are you affiliated with a synagogue or other Jewish institution?
If so, which one(s)?
What excites you about being part of an activist organization? *
Gender Identity
Optional
Race/Ethnicity
Optional
Sexual Orientation
Optional
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