Instructions

Thank you for your support in recruiting participants for the Created Equal Educators Fellowship. Please use this form to share contact information for potential Fellows!

Please complete all questions below and submit by September 11, 2020. Applications are due by September 15, 2020 and applicants will be accepted on a rolling basis.

Please contact Sam Hainbach at sam.hainbach@shalomhartman.org with any questions about the application.

Your Information

First Name

Last Name

Email Address

Nominee Information

Title

First Name

Last Name

Name of current organization:

Mobile Phone

Why do you think this person would be a great fit for the fellowship?

This fellowship is supported by the generosity of