Participant Application Form

Lilmod U'lilamed Participant Application Form

Please read the participant requirements below before applying.

Participation in this program is contingent on fulfilling these requirements

Salutation(Required)

Name(Required)

First Last

Personal Email Address(Required)

Professional Email Address

Preferred Email Address(Required)

Personal Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

I have read and agree to the participant requirements.(Required)

Yes

Cell Phone Number(Required)

In which school are you currently employed? (if you are in a Kollel, which one)(Required)

What grade(s) and gender(s) do you currently teach?

How much of the day do you currently teach?(Required)

Please list any roles you have in school beyond teaching:

Please list any communal roles or responsibilities outside of school:

Have you worked in any schools prior to the one you are currently employed by? If yes, please indicate:

In general, how interested are you in teaching in an "out of town" Day School?(Required)

How did you hear about the Lilmod U'lilamed program?(Required)

In a few sentences, what do you hope to gain from this program?(Required)

The cost of the Lilmod U'lilamed program is $4,000. We are privileged to offer a limited number of grants that will cover the entire cost of the program in addition to a travel stipend. To apply for the grant, please upload a document below which contains the following information:

Your name.
The school you will be working with this coming year.
An explanation in approximately 400 words on why you aspire to become a Rebbe/Morah. Share the motivations behind your desire to take on this noble role of guiding and educating others, and how you envision yourself making a positive impact on the lives of your students and the community.

To apply for the grant, please submit your document here.

Accepted file types: docx, pdf, Max. file size: 128 MB.