Applicant's Information

The Lakewood Fellowship Winter Program is open for highly motivated, accomplished young men who’ve demonstrated a commitment to exploring Judaism. The program features a one week filled with Torah learning, fascinating lectures, an inspiring Shabbat, camaraderie and lots of fun.

Which session are you applying to? *

Classic Lakewood Fellowship: December 24 - December 31

I would like to extend my stay

Do you know which weeks you would like to attend? Please specify below.

First Name *

Last Name *

Street Address *

City *

Country

State

State/Province

Zip Code *

Home Phone Number

Mobile 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

Who referred you to this program?

Referrer 1 First Name *

Referrer 1 Last Name *

Referrer 1 Email *

Referrer 1 Phone *

Referrer 2 First Name

Referrer 2 Last Name

Referrer 2 Email

Referrer 2 Phone

Parent's Information

Father's Name *

Mother's Name *

Parent's Phone Number *

Educational Information

University *

Other

Graduated

Yes

No

Religious Information

Into what religion was your biological mother born into? *

What religion were you born into? *

Special Information

Are you currently taking any medications? *

Yes

No

Medications Explanation

Do you have any special dietary needs? *

Yes

No

Dietary Needs Explanation

Do you have any special health needs? (include allergies) *

Yes

No

Health Needs Explanation (if you have an allergy, please specify to what and its severity)

Essay

What do you hope to gain from the Fellowship? *

notes or comments