Please download JewPAC Attendance Form here. JewPAC Evaluation Your Name:* Phone Number*Your Email:* Program Name:* Date of Program* Total Cost of Event* Example: $xx.xxHOME ADDRESS *not your PSU address!** Street Address Apartment Number City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Rate the success of your program.* 5 - excellent 4 - above average 3 - average 2 - below average 1 - poor Comments on your ratingHiddenWhat did you do Jewishly at your program?In a well thought-out paragraph, please explain the following: What did you do Jewishly at your program? How did you learn and grow from this JewPAC experience?*Please provide 200-250 words on your experience.*Note: Think about how you were impacted by hosting this event, and the content.HiddenHow did you enforce social distancing guidelines and follow county/University mandates at your event?Please upload a picture of your receipt.* Drop files here or Select files Max. file size: 100 MB. ALL receipts must be itemized: they must list the products/food purchased. If you do not submit an itemized receipt you will not be reimbursed. HiddenPlease upload a picture of your receipt. Drop files here or Select files Max. file size: 100 MB. ALL receipts must be itemized: they must list the products/food purchased. If you do not submit an itemized receipt you will not be reimbursed. Please Share a Photo (or a few) of your event!*Please upload a high-resolution photo (.JPG or .PNG) from your event. Drop files here or Select files Max. file size: 100 MB. Please provide the names of students who attended your event.*Max. file size: 100 MB.Please click on the link above labeled JewPAC Attendance Form. Download and fill out the form and then upload it into this section. HiddenWant to share your story? Yes No HiddenWe'd LOVE to share your story!What do you want us to know? We'll follow up in the next few days.
