2023 Jacobson Leadership Institute Nomination Form
This Institute will focus on lay leadership basics and therefore the ideal candidate will be relatively new to board or committee service. We encourage you to nominate anyone new to your board or someone you would like to see grow into a board position. Please note this is not specifically for young leaders but newer leaders. Refer to the invitation letter for specifics and submit your nomination no later than Friday, December 16, 2022.
Nominator's Name
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Phone Number
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Email
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Institution and relationship to nominee
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Have you confirmed with the nominee that they are available on ALL dates?
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Yes
No
Nominee Name
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Nominee Phone Number
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Nominee Email
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Nominee Age
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closest estimate is fine
Why should this individual be considered for JLI? Please include current lay roles with you and any other Jewish organizations.
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