Leadership Summit 25 application

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Cell phone*

Email*

Synagogue affiliation (name of Synagogue)*

Synagogue location*

City State / Province / Region Country

Synagogue Rabbi and Rebbetzin*

First Names Last Name

Current occupation and place of employment (if applicable)

Age range

I am involved in my community:*

Check all that apply.

Select All
Synagogue
School
Mikvah
Bikur Cholim
Tzedaka initiative
Chesed initiative
Other

Please elaborate

List of community boards, programs, initiatives, and volunteer work I have been involved with*

Challenges I face as a leader

I have participated in leadership training and/or women’s conferences before*

Please check all that apply.

No - this will be my first
OU Women's Initiative Leadership Summit 2019
OU Women's Initiative Leadership Summit 2023
OU Women's Initiative Virtual Leadership Summits (2020 and 2021)
OU Women's Initiative COLI
Other

Please share the program name and host organization*

My leadership success or expertise (skills and/or unique initiatives)

Goal(s) I’d like to achieve at the Leadership Summit*

My community and/or I have benefited from the OU Women’s Initiative programs*

Yes
No

Please list the programs*

Upon acceptance of your application, you will receive a payment form with additional summit related questions. Cost is $575. Travel expenses are not included. This event is generously subsidized by the Women's Initiative.

APPLICATION