PANIM: The Institute for Jewish Leadership & Values

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	"PANIM taught me how interconnected Judaism and politics are. You cannot be a Jew without trying to heal the problems of our world. You cannot be politically active without struggling with Jewish values." - Julia Greenberg PeP alumnus Chicago, IL

Seminar Interest Form

This form is designed for Agency Contacts to indicate interest in bringing a group of students on a PANIM seminar. The person whose name is on this form will be the one who receives our emails and mailings regarding registration and the program.

Panim el Panim (PeP) seminars are designed for groups of students coming from a specific organization. If you are an individual, please contact a local synagogue, JCC or other Jewish organizaion, or contact PANIM to be connected with a local group.

PeP ODS seminars are designed specifically for Orthodox day school groups. PeP PDS seminars are designed for Pluralistic day school groups.

Seminar Tracks and the Jewish Civics Initiative Seminars
Looking for the JCI seminars? Panim has changed the way it organizes its seminars. Please see our FAQ for more information on the new dual-track seminars.

Seminar Interest Form
Please fill in all fields and click submit. It is important to select a first and second choice of dates as many of our seminars fill up very early. This form indicates your group's interest in attending a PANIM seminar. It is not a guaranteed reservation. Space is only confirmed and reserved upon receipt of a non-refundable, $100 per student deposit from the agency (checks are not accepted from individuals) and the group registration form. Please note that seminar space is limited and is available on first come, first serve basis.

2009-2010
Fields with a * are required.

Seminar Interest Form for 2009-2010

Agency Contact Person's Name *

Agency Contact Person's Title/Position

This Agency Contact person is New Returning

Agency Name(if your group has been on a seminar before, they should be in this list. If not, select 'Not in this list' and enter your agency's name in the field below. You can type the a letter (for example 'c') to jump right to that letter in the list.) *

Agency Name (If not in list above)

This Agency is New Returning

Is this the address for the Agency or your Home

Address *

City * State * Zip *

Agency/Work Phone * Agency/Work Fax

Cell Phone Email Address *

First Choice Dates *

First Choice Track *

2nd Choice Dates *

2nd Choice Track *

Approximate Number of Students Attending *

You may wish to print this for your own records before submitting it.

Seminar Interest Form for 2010-2011