JewPAC Program Request Form - Penn State Hillel : Penn State Hillel

Name*

Email*

Phone*

Graduation Year*

Your Major*

How do you identify Jewishly? What's your Jewish flavor?*

Name of Program*

Location*

Street Address City State / Province / Region ZIP / Postal Code

Please provide the date of your program.*

Time*

:

Type of Program*

Other

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Do you want Hillel to provide you with yummy JewPAC cookies for your event?

Yes
No

When can you come pick up your JewPAC hosting package?*

The Gutterman Family Center is open M-F 11 AM - 9 PM.

Please provide a description of your program.*

How will your event provide a meaningful Jewish experience?*

The Hillel staff want to support you and your event! Please indicate how you would like to interact with the Hillel staff.*

Check all that apply.

I need help creating Jewish content (for Shabbat, holiday, football game) for my event
I need help figuring out how to have a Jewish conversation and discussion with my friends
I need a reminder/refresher of the Shabbat/holiday/ritual prayers
I want to brainstorm creative ideas
How can I make my event more Jewish?
How can this event create positive Jewish memories for my friends?

Which staff person would you like to assist in the planning process?*

JewPAC Funding Information

What is the estimated budget for your program?*

Please provide a detailed description of your budget. Only items listed below will be eligible for reimbursement!*

We may not approve requests outside of these price brackets (tips and fees are not eligible for reimbursement): 2-10 people = $15 per person; 11-24 people = $12 per person; 25-50 people = $10 per person; 51-75 people = $8 per person The above brackets will be used as a guide for reimbursement. They are NOT a guarantee of reimbursement.

What is the goal/estimated attendance for this program?*

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How will you track attendance for this program?

ATTENDANCE STATEMENT*

I agree that my program will have at least two (2) people in attendance and use this file to track attendance: https://docs.google.com/spreadsheets/d/1GIMjG3-t1zARKGXiBmraGcG7Dr3FvCar/edit?usp=sharing&ouid=101359691502946514743&rtpof=true&sd=true

Marketing Consent*

I agree to the marketing policy.

I agree that the photos I submit can be used for marketing purposes. I understand that if I do not submit photos, I will not receive reimbursement. I look forward to sharing my experience with the JewPAC team.

I confirm that my photos will:
- Be high-resolution
- Document my program
- Feature attendees

PHOTO CONTENT*

I agree to the photo content statement.

I understand my photos cannot include inappropriate content or my JewPAC request will be subject to rejection by the Executive Committee.

ALCOHOL STATEMENT*

I agree that the cost of alcoholic beverages will not be covered by JewPAC.

KOSHER STATEMENT*

I agree to the kosher statement.

As a Jewish organization, we strongly encourage upholding and teaching Jewish values throughout our community. Because of this, we ask that your food be "kosher style." Kosher-style usually refers to food that is kosher but is not necessarily labeled with a kosher symbol. Generally, kosher style food does not include meat from forbidden animals, such as pigs or shellfish, and does not contain both meat (including poultry) and dairy (ex: milk, butter, milk chocolate).