| National Jewish Outreach Program |

Sign up to offer Hebrew Reading and Writing Crash Courses

E-mail Address: *
Hebrew Class Coordinator Name
Hebrew Class Coordinator Title
Hebrew Class Coordinator Full Mailing Address including City, State, Zip
Daytime Phone Number
Daytime Fax
Synagogue/Jewish Center/Organization
Rabbi/Director (if different from above)
Full Mailing Address (including city, state and zip) if different from above
Website
Email address (if different from above)
Synagogue/org Phone Number
Synagogue/org Fax
Hebrew Reading Crash Course Start Date
Hebrew Reading Crash Course Day
Hebrew Reading Crash Course Time
Level Two Hebrew Reading Crash Course Start Date
Level Two Hebrew Reading Crash Course Day
Level Two Hebrew Reading Crash Course Time
One Day Review Start Date
One Day Review Day
One Day Review Time
Hebrew Writing Crash Course Start Date
Hebrew Writing Crash Course Day
Hebrew Writing Crash Course Time
I agree to offer the program(s) FREE of charge (type I Agree)
I understand that I will receive primers or modules for the students only after I have provided NJOP with the names and addresses of the program participants. (type I Agree)
Comments or Questions
Best way to contact you (Phone, Email, etc..)
I would like to receive (please check all that apply)	Jewish Treats - A daily bite-sized connection to Judaism Rabbi Buchwalds Weekly Torah Email


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