CULTURE CONNECT COMMUNITY RESOURCE DIRECTORY: ORGANIZATION
Please fill out this form as completely and accurately as possible. You’re encouraged to use the Narrative portion of the form to round out your description, especially if you don’t see a good answer or category for your group. Please know that your form will be reviewed by Culture Connect staff before it’s published; they will contact you with any questions or issues that need clarification. Thank you.
Organization Information
Organization Name:
Program Name (if different):
Organization Primary Address:
Street:
City:
State:
Zip:
Phone:
Area Code
Number:
Ext
Email:
Web Site:
Example: www.mywebsite.com
Organization Image/Logo:
Image must be in JPG format, and will be resized to a maximum of 200x200 pixels. Max filesize of uploaded image is 2MB.
Primary Contact Information (if applicable)
Name
Title
Area Code Number Ext
Email
Organization Type
Arts & Culture Organization Camp: Day Camp: Overnight Community/ Retreat Center Community Service Organization College/Student Group Education Institution Event / Lifecycle Services Synagogue Other If Other:
Organization Services (select any/all that apply):
Adoption Classes/Workshops Clubs (Book, Film, Social) Counseling Exhibits Community–Wide Events/ Festivals Education
Family/Parenting Services Food Supervision Interfaith Support Israel Services/Support Judaica Lifecycle/Event Services:
Performances/ Lectures/Readings Recreation/Sports/Fitness Religious/Prayer Services Support Groups Teen Groups Travel Programs Other:
Age/Demographic Group/s Served (select all that apply):
Infant/Toddler Preschool Kindergarten Elementary Age Pre-Teen Teen Young Adults/College
Adults Older Adults Singles Special Needs Individuals Interfaith Couples/Families Women Men
Families GLBTQ Unaffiliated New Americans Other: All
Please provide a brief narrative description of your organization’s work (150 word max):
Name & Contact Info for person completing the form:
Same as Contact person
Agreement
I agree to be listed in the Culture Connect Resource Directory on www.JewishCultureConnect.com and give permission to publish this information.
