AFFILIATION
Are you a Reform Jew?	Yes No
If yes, what congregation are you affiliated with?
Name of Congregation:
City, State:
What day school(s) have you been affiliated with?
Please check all that apply:	Current day school parent Current day school student Day school alum Jewish studies teacher Hebrew teacher General studies teacher Current day school administrator Current head of school Current day school donor Current or past day school board/committee member Current URJ board member Current URJ professional Current Reform Rabbi PARDeS member PARDeS board member Other:
Click here to give us permission to share your story on -line or in our PARDeS newsletter in an edited format:	With your name Without your name Contact me first
CONTACT INFORMATION:
Your name:
E-mail:
Daytime Phone:
Evening Phone:
City:
Brief description of your connection to the Reform community:
YOUR STORY:
( 200-400 words) Select one of the prompts below, or just tell us your story!
(Adults) how being part of a day school community has had an impact on the life of a Reform Jewish child you know. (Students) how the experience of attending a Jewish day school has had/is having an impact on your life; on the life of someone close to you. (Parents, grandparents, etc) how enrolling Reform Jewish children in a Jewish day school has had an impact on your own, or family's, Jewish identity. (Teachers, Donors, Board Members) how Reform family involvement in Jewish day school education has surprised you. (Rabbis, Heads, Administrators) how working in a Reform Jewish day school has had an impact on your career. (Anyone) how Reform Jewish day schools can participate in making your dreams for the Jewish people in the 21st century come true.
Enter your story below (200-400 words):
Give your story a title that reflects the essence of the impact as you understand it - keep it short
Anything else you would like us to know, please enter below:
THANK YOU! TODAH RABBAH!