Welcome back!

Dear 2022-23 Fellows,

We are thrilled that you want to return for another year of the Hartman Teen Fellowship. Please complete the below information and Amalya will send you a confirmation letter to sign, upload and submit payment. Looking forward to learning with you in 2023-24!

Next year's Fellowship is greatly subsidized by our generous donors and we are requesting tuition of $500. If this poses a significant financial difficulty please indicate that on your commitment form, cost should not be a barrier to your participation.

Warmly,

Daniel and Amalya

Fellow Information

First Name

Last Name

Suffix

Other Title:

Mobile:

In Fall 2023 I will enter

Grade 11
Grade 12

Mailing Address

Country

Provinces

City

Ontario - City

State

State/Province

Canadian Postal Code

Postal Code

US Postal Code

School

Please indicate if your school is

PublicPrivate/Not Jewishly Affiliated
Private/Jewishly AffiliatedHomeschool

Instructions: Please select your school from the dropdown list below.

If you do not see your school on this list or are homeschooled, please check the appropriate box below.

High School Name:

I don't see my school on the list.

I am homeschooled

School Information

Name of School:

Country

Mailing Address

City

State

Provinces

State/Province

Postal Code

Geographic Region

School Contact

Principal

Salutation

Principal First Name

Principal Last Name

Principal Email Address

Guidance Counselor

Salutation

Counselor First Name

Counselor Last Name

Counselor Email Address

Question

What is one thing you are excited to learn next year? (100 words max)

Shalom Hartman Institute Privacy Policy

I agree to the Shalom Hartman Institute Privacy Policy

Salesforce IDs for participation records

The following sections are not visible to the user filling out the form. Please insert the proper object id from Salesforce into the fields below as DEFAULT values. The object ID can be found in the URL of the salesforce entry. See the following example, the object ID is in bold.

https://hartman.lightning.force.com/lightning/r/Program_Tier_1__c/a0T7R00000aTEjiUAG/view

That string of characters needs to be added as a default value. To do so, click on the field you want to fill. Then click on the "options" button, and then enter the value into the "default values tab." See the image below for a tutorial.

Also note that you do not need to delete any fields below. For example, If you only want to create a participation for 4 classes, you can just leave the others blank.

Program ID - Insert Program ID here as DEFAULT VALUE

Seminar ID - Insert Seminar ID here as DEFAULT VALUE

Class IDs - Insert Class #IDs here as DEFAULT VALUES

Campaign ID - Insert Campaign Seminar ID here as DEFAULT VALUE

Campaign IDs - Insert Campaign Class #IDs here as DEFAULT VALUES

Geographic Region Fields - DO NOT EDIT

US Geographic Region

RegionCA1

RegionCA2

RegionCA3

RegionCA4