LAKEWOOD FELLOWSHIP INTERN PROGRAM

The Lakewood Fellowship Intern Summer Program provides qualified talented college students and recent college graduates world-class professional opportunities in leading business positions and health care institutions along with an incredible Jewish experience.

Applicant's Information

Choose your track *

Business Track

Health Care Track

First Name *

Last Name *

Citizenship *

U.S.

Other

Non-U.S. citizens will be required to submit the following documents prior to acceptance in the program.

Dept. of Homeland Security (DHS) U.S. Immigration and Customs Enforcement/I-20, Certificate of Eligibility for Nonimmigrant Student Status with either F-1 or J-1 status AND school endorsement on pg 3
Written work authorization from the U.S. Citizenship & Immigration Services (USCIS)
SS card
I-94 form
Foreign Passport

Country

Street Address *

City *

State/Province

State

State/Province

Zip Code *

Phone Number *

Birthdate * +

Email Address *

Applications will not be processed without a recent photo. If your browser does not allow you to upload a photo, you can send an e-mail with an attachment to mkatz@torahlinks.org The following formats are acceptable. jpg, tiff, png, pdf.

Your Picture 🛈

Please note: Applications are not accepted without a current picture of yourself. Please upload your photo here. Alternately, you can e-mail your photo to mkatz@torahlinks.org ; please make sure to put your full name in the subject line.

References

Please supply two references - one rabbi and one professional/academic. Please include their phone number and e-mail address

Rabbi

Reference 1 First Name *

Reference 1 Last Name *

Reference 1 Email *

Reference 1 Phone *

Professional/Academic

Reference 2 First Name *

Reference 2 Last Name *

Reference 2 Email *

Reference 2 Phone *

Comments

Parent's Information

Father's Name *

Mother's Name *

Parents' Country *

Parent's Street Address *

Parent's City *

Parent's State

Parents' Postal Code *

Educational Information

University *

University Other

Graduated *

Yes

No

GPA *

Academic Major? *

Degree earned/in progress *

Your resume * 🛈

What year of college are you in? *

Religious Information

Into what religion was your biological mother born into? *

What religion were you born into? *

Given your family's religious history, what religion do you associate yourself with today? *

Highest Level of Jewish Education *

Special Information

Taking Medications *

Yes

No

Medications Explanation

Dietary Needs *

Yes

No

Dietary Needs Explanation

Health Needs *

Yes

No

Health Needs Explanation

Allergies *

Yes

No

Allergies Explanation

About You

Why do you feel you were recommended for the Fellowship? *

How would you most accurately describe your Judaism? *

What do you hope to gain from the Fellowship? *