Mitzvah Project Central Student Registration

Dear B'nai Mitzvah Student,

You are becoming a B'nai Mitzvah this year (woohoo!), and Tzedek America is thrilled to be part of the experience with you. The following form will help us get to know you a little and start thinking about how you want to engage in the mitzvah project component of your journey.

Here are some next steps!

1. Fill out the form below with your parent or guardian. It is absolutely okay if you don’t have an answer to any of the questions - that is what we’re here to help with!

2. Schedule a time to talk with one of our Mitzvah Project Central educators. We are excited and waiting to hear from you!

Office Hours for Students in New York, Pennsylvania, & Ohio

Office Hours for Students in Florida, North Carolina, Maryland, California, & Washington

3. Take a peek at our Mitzvah Project Central Directory (Your password is unique to your synagogue) to start getting ideas of what projects we have already thought up for your neighborhood. If something sparks your interest, let us know at our meeting!

Dear Parent / Guardian,

We will be collecting some data from your child to best inform their mitzvah projects. To do that, we need you to fill out this Consent Form:

I have read, or I am familiar with, the Child Online Privacy Act (COPPA).

I permit Tzedek America to use my student's personal information needed to use the programs and apps for instructional purposes.

I have read, understand, and agree to abide by the provisions of Tzedek America's Responsible Use Guidelines.

We will not share your information. See our privacy policy.

We are looking forward to getting started!

Warmly,

Your friends at Tzedek America

Elana Beame, Assistant Director

Philippa Miller, MPC Mentor

Jennifer Saber, MPC Mentor

B'nai Mitzvah Student

First NameLast Name

B'nai Mitzvah Date

MonthDayYear

Student's Pronouns (Not sure? Learn about pronouns here: https://www.keshetonline.org/resources/whats-in-a-pronoun/)

Congregation

*If you marked OTHER, please reach out to mpc@tzedekamerica.org to complete your registration.

Student's Email Address

example@example.com

Student's Phone Number (*will only be used to send reminders for office hours)

Please enter a valid phone number.Format: (000) 000-0000.

Phone Carrier

What type of mitzvah project are you interested in participating in? (Check all that apply)

What topics are you interested in? (Check all that apply)

If you chose "Other", please tell us about what you are interested in.

Bonus Points: Do you already have an idea in mind of what you want to do for your mitzvah project or something you're interested in you might want to turn into a project?

Where have you volunteered before? (More than okay to say you have not yet volunteered!)

Parent / Guardian's Name

First NameLast Name

Parent / Guardian's Email Address

example@example.com

Additional Parent / Guardian's Name (Optional)

First NameLast Name

Additional Parent / Guardian's Email Address (Optional)

example@example.com

Parent / Guardian's Cell Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

If there are any accommodations that would help your student participate more effectively, please name them here. If none, please write N/A

Parent / Guardian's Signature

Today's Date

MonthDayYear

If you have any questions whatsoever, we are here to help you.

Feel free to reach out to the Mitzvah Project Central Team at mpc@tzedekamerica.org

B'nai Mitzvah Student Information

Parent / Guardian Information