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Eisner Prize Winner

Program of Distinction

UJA-New York


Intergenerational Chess Fall 2018

  Please provide the following information:

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Name:

 

 

   

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City/State/ZIP:

 

    

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Date of Birth:

 


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Parent/Guardian 1
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Parent/Guardian 2
   


   


   


   


 


   


   


   


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Question - Required - I heard about DOROT through:
















  If you selected "Internet site"
(Select one of the available choices or enter a different value.)



   


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Please take note of the following details of your commitment:

Mondays from 4:00-5:30pm - must commit to all sessions

October 15 - Includes an intergenerational orientation
October 22, 29
November 5, 12, 19, 26
December 3, 10, 17

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Question - Required - I understand:

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Question - Required - If accepted into the program, I understand that as a DOROT volunteer it is my responsibility to:

  *Please note:

1. Students who are new to DOROT are required to have a brief phone interview with the Coordinator of Family and Youth Volunteer Services. After your application is received, you will receive an email within 2 days to coordinate a date and time for the interview.

2. Returning chess participants will initially be put on a waiting list while we allow for new youth to apply. The Coordinator of Family and Youth Volunteer Services will be in touch if spots become available for returning youth.

3. Due to limited space, parents/guardians may not be able to attend the program but are welcome to wait at DOROT.
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