Learning Pods Registration Form

2011-2012 Hekdesh Pods Sign-Up Form

Please fill out the form below. We will contact you in the coming weeks with a potential pod configuration. Thanks for your interest and we're looking forward to sharing an exciting year of learning and Tzedakah with you! If you participated in a Hekdesh Learning Pod last year and would like to sign up again, please email: [email protected]

First Name*
Last Name*
Dorot Affiliation*
Year you did Dorot OR Your association with the Dorot Fellowship (e.g. 98-99 OR my wife, Janie Cohen, did Dorot in 98-99)
Email*
Best Phone Number- daytime*
Best Phone Number- nighttime*
City*
Neighborhood/Town (if different from above)
E.g. Upper West Side, Rechavia, Brookline, etc.
Country AND State/Province (if relevant)
Zip Code
Will you be attending the Dorot Retreat November 4-6?*
- Yes
- No
We will have a "sneak peak" into the Tzedakah Learning Pods during one of the Shabbat sessions at the Retreat. We hope to see you there!
I'm excited to join a Tzedakah Learning Pod because…
A tzedakah question or challenge I’ve been considering recently is…
I’d like to be in a pod with…
The Learning Committee will match you with other Dorotnikim in your geographic area, where possible. Some may want to join with people they already know. Please let us know here if you'd strongly prefer to be with a partner or friend(s).

Learning Pods Registration Form

2011-2012 Hekdesh Pods Sign-Up Form

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