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Mitzvah Project Interest Form

Thank you so much for your interest in learning about Creating Connected Communities' (CCC) mitzvah projects! We'd love to learn more about you so that we can create a project that is both meaningful to you and impactful to our community.

Please take a moment to fill out this form, one entry per teen, and we will be in touch with you ASAP!

For questions, please contact Amy Forbes (Assistant Program Director) at aforbes@cccprojects.org and to learn more about our Mitzvah Sponsor Program, please click here- https://www.cccprojects.org/mitzvahs/.

Mitzvah Teen Name (First and Last) *

Mitzvah Teen Phone Number *

Mitzvah Teen Email *

Parent Name (First and Last) *

Parent Phone Number *

Parent Email *

Date of your mitzvah: *

Please list a few activities or hobbies you are interested in (sports, crafts, reading, etc.). *

How did you hear about CCC? *

I know a CCC staff or board member.

A friend referred me.

Social media or newsletter.

Website

A family member has been or is involved in CCC's Leadership Development Program.

Through my synagogue or youth group.

If you belong to a synagogue, which one?