Federation Leadership InitiativesLevy FellowsLevy Fellows – ApplicationLevy Fellows – Application Return to Levy Fellows Submit Your Application for Levy Fellows PhoneThis field is for validation purposes and should be left unchanged.Name* First Last Email* Phone*Organization:*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code I was nominated to participate by:*Current board position:*Previous board position(s), if applicable:Involvement in other Jewish or civic organizations:Profession (if applicable):Workplace (if applicable):Previous work (if applicable):What are your primary goals for participating in the Levy Fellows programs?What knowledge and interests would you like to contribute to the group?I understand that I will need to complete a pre-program survey upon acceptance to Levy Fellows Yes Please verify your availability:Please note: All sessions will take place at the Kaplan-Feldman Complex, Jewish Federation of St. Louis.I am available for both sessionsPlease check to confirm you are available Sunday, October 11: 9:00am – 4:00 pm (lunch included) Thursday, November 5: 6:00 pm – 9:00 pm Concluding Reception:Please check if you plan to attend; you will be automatically registered Morris & Rosalie Presidents Circle Presidents Circle and Levy Fellow Recognition Reception: Tuesday, November 17, 5:00 pm – 7:00 pm Questions about Levy Fellows? Marci Mayer EisenDirector, Leadership Initiatives/JProStLContact Marci
