Delve Deeper Registration - Spring 2018 - Form

Thank you so much for your interest in Delve Deeper: A Program of Intensive Jewish Study!

This semester, we are delighted that Professor Michael Satlow will be teaching "The Rabbis and Their Legacy: An Introduction to Rabbinic Judaism." The class will meet from 7:00-9:00pm on Thursday evenings, February 1 through May 10 in the Vestry at Temple Emanu-El.

As this is a new venture, it is important for us to be able to assess our success both in meeting educational goals and in building a diverse community of learners. To that end, we ask that you fill out the following registration form, which should take about 15 minutes. Returning students need only fill out the required fields, marking with a red asterisk, and payment information. If you have any questions, please reach out to Rabbi Rachel Zerin at rzerin@teprov.org.

Thank you, and we look forward to learning with you soon!

General Information

* Name

* Address

* Phone Number

Alternative Phone Number

* E-mail Address

* Preferred Method of Contact (in case of weather cancellation)

Date of Birth

* Why did you enroll in this course?

* What are your goals for this course?

Payment

We are committed to enabling everyone to enroll in this course, regardless of financial circumstances. If you are in need of financial assistance, please say so here, and Rabbi Zerin will contact you to determine a reasonable registration fee. If you are able to make a donation above the $200 course fee, please consider sponsoring a scholarship to help ensure that this is a barrier-free opportunity.

Course Fee of $200 (paid by credit card or billed to account)I will pay the $200 course fee by checkPlease Contact Me Regarding Financial Assistance

I would like to make a donation to the scholarship fund

Amount

The following questions are for new students only.
Returning students do NOT need to answer the following questions. If you are a returning student, you may submit your form now.

Jewish Identity and Educational Background

Are you a member of a synagogue or synagogues? If so, please name it/them here.

Are you affiliated with any Jewish organizations or institutions, whether local or national? If so, please list it/them here.

Do you now, or have you in the past, held a leadership role in a synagogue or Jewish institution? If so, please list the institution and your role.

Jewish Educational Background (please check all that apply)

I attended supplementary religious schoolI attended day schoolI attended a Jewish summer camp or other Jewish summer programI studied Jewish topics in collegeI have a degree in Jewish studiesI have participated in other adult education coursesI have participated in another advanced course of Jewish learning (e.g. Meah Melton Conservative Yeshiva summer or online courses etc.)I have had other Jewish educational experiences

If you selected any of the last 3 check boxes, please list the courses or other experiences here:

Please select the statement that best describes you:

I have no Jewish educationI have a minimal Jewish educationI have a good Jewish education but I still have significant gaps in my knowledgeI have an advanced Jewish education and I always want to learn more

Please select the statement that best describes you:

I have never participated in Jewish programs such as adult education courses religious services holiday programming or community building eventsI rarely participate in Jewish programs such as adult education courses religious services holiday programming or community building eventsI periodically participate in Jewish programs such as adult education courses religious services holiday programming or community building eventsI frequently participate in Jewish programs such as adult education courses religious services holiday programming or community building events

Please share a few sentences with us about your Jewish identity, practice, and community involvement.

Additional Questions or Comments