Fellowship Seminar Reservation and Directory Form In preparation for the upcoming Fellowship, please share the following information. Name(Required) First Last I will be arriving at the following time:(Required) Sunday evening, July 9, 2023 (Sunday night reservation form link below)) Monday morning, July 10, 2023 and sleeping at the hotel Monday evening (as a guest of the Fellowship program.) To reserve a room at the Inn at Great Neck on Sunday evening, please pay the non-refundable fee of $185 by clicking here. (This fee includes a boxed dinner)Will you be requesting travel reimbursement?(Required)You will receive a travel reimbursement form from Nechama Epstein, our Operations manager. Reimbursements will be processed after the seminar. I live more than 275 miles away from the hotel, and will be requesting up to $350 in travel reimbursments. I live between 75 and 275 miles away from the hotel and will be requesting up to $50 in travel reimbursements. I live less than 75 miles away from the hotel. Additional comments.Fellowship DirectoryWe plan to share a printed directory of Fellowship participants which will serve as a valuable resource for you. Please enter the information below as you would like it to be printed in the directory. Please check that all spelling and contact information is correct.Name(Required) First Last Cell PhoneEmail Preferred method of contact(Required)Check all that apply Email Phone Text message Whatsapp Address(Required) City State / Province / Region Communal Role(Required)Check all that apply Rebbetzin Kallah Teacher Chinuch Professional Kiruv Professional Other Please specify other: Number of years in role:(Required)Primary areas of communal and professional involvment:(Required)Please input up to five areas of communal and professional involvement in the exact way that you would like it to appear in the directory. Your Position Organization/ Company inolvement Your Position Orgnaization/Company involvement Your Position Orgnaization/Company involvement Your Position Orgnaization/Company involvement Your Position Orgnaization/Company Thumbnail Photo(Required)It would be great if you could upload a picture so that women can put a face to a name. This is for directory use only, and will not be posted online. Max. file size: 512 MB.