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Eisner Prize Winner

Program of Distinction

UJA-New York


Intergenerational Chess Westchester Application

  Thank you for applying to participate in the Intergenerational Chess Program.

  Please provide the following information:

 

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Date of Birth:

 

 

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Question - Not Required - Do you play chess?



 
Question - Not Required - Are you willing to drive or do you need transportation?



  PROFILE:
  To Tell Us More About You
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REFERENCES:
Please provide three professional or personal references (non-familial):
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