fellowship seminar 23 national organization directory form

Over the year, the OU Women's Initiative has educated over 60 Rebbetzins, Kallah Teachers, Kiruv and Chinuch Professionals from across the country in communal mental health support. The Fellowship, an 8-week course followed by an in-person seminar, provides an overview of mental health challenges facing our communities today, guides the women to know when and how to refer and how to provide appropriate support. At our upcoming fellowship seminar in July, we would like to supply our fellows with a directory of national organizations that help the Jewish community in various areas of mental health. We would like to include your organization as a resource for them to reach out and to refer their constituents to when needed. Please complete this form by Friday morning, June 30, so that we can include your organization in this directory.

Name of person completing this form(Required)

First Last

Email of person completing this form.(Required)

Organization Information

1. Name of Organization:(Required)

2. Please select the category in which you would like your organization entry to be included in our directory:(Required)

3. If applicable, please choose additional categories under which you would like the name of your organization listed:

Marriage and Divorce

Infertility, Pregnancy and Infant Loss

Community Services

Abuse

Addictions

Mental Health Prevention and Treatment

Special Needs

Single-Parent Families

Medical Illness and Bereavement

4. Please include a 2-3 sentence description of the services your organization provides for the community and the issues your organization addresses.(Required)

This description will be included with your organization's entry in our directory.

5. What is your referral process?(Required)

Please describe how our Fellowship Rebbetzins, Kallah Teachers, Kiruv and Chinuch Professionals can best help their constituents access your services.

6. Organization Website(Required)

Please include a link to your organization's website.

7. Please provide a contact (name and contact information) for the women in our Fellowship program should they need.(Required)

8. Additional comments:

NATIONAL SUPPORT ORGANIZATIONS

DIRECTORY FORM

Organization Information