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Contact Information
* First Name : 
* Last Name : 
Address 1 : 
Address 2 : 
City : 
State : 
Zip : 
Phone(s) : 
Email Address(es) : 
 
 
 
If living in Los Angeles, add neighborhood:
   
 
 
Education (college, degree, year):
   
 
 
 
Professional background (include employer, job title, and brief job history):
   
 
 
 
What year did you join the Board of Overseers?
   
 
 
 
Why it is important to you to be part of HUC-JIR?
   
 
 
 
Synagogue affiliation (include current and former leadership roles):
   
 
 
 
Other community activities and organizations served (include current and former leadership roles):
   
 
 
 
Other interests and significant accomplishments
   
 
 
 
Immediate and other family information (including if anyone is a graduate of HUC-JIR):
   
 
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