Serve the Moment Corps Member Nomination

Do you know a young adult ready to learn and serve this summer? Nominate them for our Service Corps program by filling out the information below. We'll let the nominee know that you have nominated them, but you will not be notified in the event that they apply. Thank you for sharing this opportunity!

A few notes about eligibility for the Service Corps:

Applicants must be between the ages of 18 and 29 at the start of the program in June 2021
Applicants must be US Citizens, permanent residents, or have prior work authorization. Repair the World is unable to provide visas
Applicants do not have to be Jewish to be eligible for the program, but the program is focused on service through a Jewish lens
Applicants must be located in one of the 12 cities in the program. Repair the World does not provide housing for the Service Corps

Please provide us with your contact information below.

First Name

Last Name

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Please provide the contact information for the person you are nominating.

First Name

Last Name

Phone Number

Phone Type

What is your relationship to the nominee?

This nominee is your...

Details:

Contact Information