Impact Year Fellowship Application

| Resume a previously saved form
Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Password must contain the following:
  • 12 Characters
  • 1 Uppercase letter
  • 1 Lowercase letter
  • 1 Number
  • 1 Special character

Page 1


Thank you for your interest in the 2025-2026 Impact Year Fellowship!

What does it mean to be part of the Impact Year Fellowship?
You will be part of a Bay Area-wide cohort of leaders that will not only have the opportunity to plan meaningful service events, but to also delve into what it means to be Jewish in our community today  while gaining valuable leadership skills. 
Before you begin this application, please note:  
  • You will able to save your progress. 
  • Check the calendar below to make sure you are available to attend ALL the events, including the overnight retreat October 4-5, 2025. 
  • Deadline to Register for Impact Year Fellowship is September 15.
  • Impact Year Fellowship Fee: $600.  Early Bird Discount: $550 if you register by Tuesday, September 2. It is important to JFCS that cost is not a barrier to participate in our programs; please email Debra Massey at dmassey@jfcs.org for the Financial Aid application. 
  • There will be a $50 late fee if your payment is received after September 22.
  • Your Parent will need to complete a section of this application as well. 
Please note: Our programs are highly subsidized by the generosity of our donors. Impact Year Fellowship fees include all program participation in mifgashim, summits and the retreat (including bus transportation to and from the retreat). All Impact Year Leaders are expected to participate in the overnight retreat. Any retreat cancellations after September 19 will incur an additional $150 fee.
MARIN
Dates of the Fellowship:
September 21- Mifgash #1 
October 4-5; Overnight Retreat at Camp Newman 
November 11: Bay Area Wide Summit; 10am-4pm 
December 7: Mifgash #2 
January 11: Mifgash #3 
February 1: Bay Area Wide Summit; 10am-4pm 
March 1: Mifgash #4 
April 12: Mifgash #5 
May 3: Siyum/Graduation
PALO ALTO
Dates of the Fellowship:
September 21- Mifgash #1 
October 4-5; Overnight Retreat at Camp Newman 
November 11: Bay Area Wide Summit; 10am-4pm 
December 7: Mifgash #2 
January 18: Mifgash #3 
February 1: Bay Area Wide Summit; 10am-4pm 
March 1: Mifgash #4 
April 12: Mifgash #5 
May 3: Siyum/Graduation
SAN FRANCISCO
Dates of the Fellowship:
September 28- Mifgash #1 
October 4-5; Overnight Retreat at Camp Newman 
November 11: Bay Area Wide Summit; 10am-4pm 
December 7: Mifgash #2 
January 11: Mifgash #3 
February 1: Bay Area Wide Summit; 10am-4pm 
March 1: Mifgash #4 
April 12: Mifgash #5 
May 3: Siyum/Graduation
SAN MATEO
Dates of the Fellowship:
September 21- Mifgash #1 
October 4-5; Overnight Retreat at Camp Newman 
November 11: Bay Area Wide Summit; 10am-4pm 
December 7: Mifgash #2 
January 11: Mifgash #3 
February 1: Bay Area Wide Summit; 10am-4pm 
March 1: Mifgash #4 
April 12: Mifgash #5 
May 3: Siyum/Graduation


Page 2







Primary Mailing Address












Page 3

Part 1 - Making an Impact
Please rank the following service topics from 1-4 

(1 = Sounds OK,  2 = I am interested in exploring this, 3 =Important to Me, 4 =
Super Important to Me
1 2 3 4


Part 2 - Growing as a Leader
Please rate the following qualities of a leader from 1-5 
(1 being least important to you and 5 most important to you)
 
1 2 3 4 5


Part 3 - Finding My Place

Peoplehood






Israel




Jewish Identity




Where do you feel you need the most support these days? 
(Please rate from 1 to 4, 1 being the least support needed and 4 most support) 
1 2 3 4
Part 4 - Before we say goodbye...



Part 5 - Impact Year Fellow Commitment
As an Impact Year Fellow, we ask for a commitment of your time and energy over the course of the school year.

As such, we ask both you, the Impact Year Fellow, and your Parent/Guardian(s) to discuss this commitment with each other.  
Please review the following dates and confirm you are available to participate: 
Dates of the Fellowship:
September 21- Mifgash #1 
October 4-5; Overnight Retreat at Camp Newman 
November 11: Bay Area Wide Summit; 10am-4pm 
December 7: Mifgash #2 
January 11: Mifgash #3 
February 1: Bay Area Wide Summit; 10am-4pm 
March 1: Mifgash #4 
April 12: Mifgash #5 
May 3: Siyum/Graduation
Dates of the Fellowship:
September 21- Mifgash #1 
October 4-5; Overnight Retreat at Camp Newman 
November 11: Bay Area Wide Summit; 10am-4pm 
December 7: Mifgash #2 
January 18: Mifgash #3 
February 1: Bay Area Wide Summit; 10am-4pm 
March 1: Mifgash #4 
April 12: Mifgash #5 
May 3: Siyum/Graduation
Dates of the Fellowship:
September 28- Mifgash #1 
October 4-5; Overnight Retreat at Camp Newman 
November 11: Bay Area Wide Summit; 10am-4pm 
December 7: Mifgash #2 
January 11: Mifgash #3 
February 1: Bay Area Wide Summit; 10am-4pm 
March 1: Mifgash #4 
April 12: Mifgash #5 
May 3: Siyum/Graduation
Dates of the Fellowship:
September 21- Mifgash #1 
October 4-5; Overnight Retreat at Camp Newman 
November 11: Bay Area Wide Summit; 10am-4pm 
December 7: Mifgash #2 
January 11: Mifgash #3 
February 1: Bay Area Wide Summit; 10am-4pm 
March 1: Mifgash #4 
April 12: Mifgash #5 
May 3: Siyum/Graduation
We ask that you, the Impact Year Fellow, agree to the following commitments by checking the boxes to let us know you agree: 

Page 4

Recommend a Friend?

Please list the names and contact information of 1-2 friends/teens you think would enjoy the program. Please let them know we may be in touch with them.








Page 5

This page is to be completed by the parent/guardian of the teen applicant.

Your teen's application will not be considered complete until their parent/guardian fills this out, so please be sure to take a few minutes and provide us with some important information. 

Important Notes:

  • Impact Year Fellowship Fee: $600. Please be aware that there is a $600 program fee, which will be requested upon each teen's acceptance into the Impact Year Leadership program. The Early Bird price is $550 if you register by September 2. 
  • Financial assistance is available. Please email dmassey@jfcs.org to inquire. 
Parent / Guardian Fields








The more we know about your teen, the better able we are to help create a positive experience for them. Please help us to understand the way the learn best, the way the interact socially, and anything else you feel might be important for us to know. 


Impact Year Calendar Commitment
What makes Impact Year so great is the community that we create together. Your Impact Year community counts on you being at programs consistently, and on time. 

Impact Year Fellows are a committed group of teens who work closely with the YouthFirst staff to plan and execute service and advocacy projects for fellow teens in the Impact Year program.

All teens will participate in:


1. Monthly Mifgash (Hebrew for "meeting" or "gathering") which may include:
  • Service Learning Events
  • Jewish Identity Workshops 
  • Community Building 
2. Impact Year Siyum (concluding celebration)

3. Other agreed upon days and times to work on particular events
Dates of the Fellowship:
September 21- Mifgash #1 
October 4-5; Overnight Retreat at Camp Newman 
November 11: Bay Area Wide Summit; 10am-4pm 
December 7: Mifgash #2 
January 11: Mifgash #3 
February 1: Bay Area Wide Summit; 10am-4pm 
March 1: Mifgash #4 
April 12: Mifgash #5 
May 3: Siyum/Graduation
Dates of the Fellowship:
September 21- Mifgash #1 
October 4-5; Overnight Retreat at Camp Newman 
November 11: Bay Area Wide Summit; 10am-4pm 
December 7: Mifgash #2 
January 18: Mifgash #3 
February 1: Bay Area Wide Summit; 10am-4pm 
March 1: Mifgash #4 
April 12: Mifgash #5 
May 3: Siyum/Graduation
Dates of the Fellowship:
September 28- Mifgash #1 
October 4-5; Overnight Retreat at Camp Newman 
November 11: Bay Area Wide Summit; 10am-4pm 
December 7: Mifgash #2 
January 11: Mifgash #3 
February 1: Bay Area Wide Summit; 10am-4pm 
March 1: Mifgash #4 
April 12: Mifgash #5 
May 3: Siyum/Graduation
Dates of the Fellowship:
September 21- Mifgash #1 
October 4-5; Overnight Retreat at Camp Newman 
November 11: Bay Area Wide Summit; 10am-4pm 
December 7: Mifgash #2 
January 11: Mifgash #3 
February 1: Bay Area Wide Summit; 10am-4pm 
March 1: Mifgash #4 
April 12: Mifgash #5 
May 3: Siyum/Graduation

We feel it's important for you, as the parent, to be aware of the commitment your teen has made, and we ask for you to support them in honoring this commitment. They have agreed to the following: