JCRC Student to Student Nomination Form 2025-26

Thank you for nominating students who will be in 11th or 12th grade in the 2025-2026 school year.

Please share as much contact information as you have for both student and parents. Submit a new form for each teen being recommended. Nominations will be accepted through August 2025. Please direct any questions to Mandy Book, Assistant Director of Education Programs and Services.

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Nominator Information

First Name Last Name

Street Address (Optional) Address Line 2 (Optional)

Postal Code (Optional) City (Optional) State/Province (Optional)

Email Mobile Phone (Optional)

Remember me so that I can use FastAction next time.

(Optional)

Recommended Student Details

First Name of Student Nominee

Last Name of Student Nominee

Email of Nominee (Optional)

Phone of Nominee (Optional)

Synagogue Affiliation of Nominee

Jewish Youth Group Affiliation of Nominee, if any (Optional)

What school does Nominee attend?

Grade of Nominee for 2025-26:

Parent Name of Nominee (Optional)

Parent Email (Optional)

Parent Phone (Optional)

Please include any other relevant information about the nominee. Some suggestions: In what capacity do you know the nominee, what qualities does the nominee have which would make them a good match for our program, etc.