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Contact Information

* School: <Pick School> Multi-campus Hillel Centers: Cleveland Metro Hillel Greater Houston Hillels Greater Miami Hillels Greater Pittsburgh Hillels Greater Toronto Hillels Greater Washington DC Hillels Hillels of Broward County Hillels of Illinois Hillel Council of New England Hillel of Metro Detroit Hillels of Milwaukee Hillels of Rochester Hillel of Silicon Valley Hillels of Westchester Philadelphia Multi-Campus Center San Francisco Hillels --------------------------------------- Acadia University Adelphi University Agnes Scott College Alaska Pacific University Albright College Alfred University Allegheny College American University Amherst College Amsterdam Appalachian State University Arizona State University Atlantic Community College Auburn University Austin College Babson College Baldwin Wallace University Ball State University Baltimore Hebrew University Bar Ilan University Bard College Barry University Bates College Baylor College of Medicine at Texas Medical Center Beaver College Beloit College Ben-Gurion University Bentley College Bergen Community College Berlin Binghamton University Bloomsburg University Boston College Boston University Bowdoin College Bowling Green State University Bradley University Brandeis University Bratislava Broward Community College Brown University Brussels Bryant College Bryn Mawr College Bucknell University Bucks County Community College Budapest Buenos Aires Butler University California Institute of Technology California Polytechnic State University - Pomona California Polytechnic State University - San Luis Obispo California State University - Chico California State University - Fresno California State University - Fullerton California State University - Long Beach California State University - Northridge California State University - Sacramento California State University - San Bernardino Cambridge University Caracas Carleton College Carleton University Carnegie Mellon University Case Western Reserve University Catholic University Catonsville Community College Cedar Crest College Cegep St. Laurent Central Connecticut State University Central Michigan University Chapman University Chatham College Chicago Kent School of Law City College of San Francisco Claremont Graduate University Claremont Colleges Claremont McKenna College Clark University Clarkson University Clemson University Cleveland Institute of Art Cleveland Institute of Music Cleveland State University Colby College Colgate University College of Charleston College of William and Mary College of Wooster Colorado College Colorado State University Columbia University and Barnard College Community College of Philadelphia Concordia University - Sir George and Loyola Campus Connecticut College Cooper Union Cornell College Cornell University County College of Morris Creighton University CUNY Baruch College CUNY Brooklyn College CUNY City College CUNY College of Staten Island CUNY Hunter College CUNY John Jay College of Criminal Justice CUNY Kingsborough Community College CUNY Queens College Curry College Cuyahoga Community College Cypress College C.W. Post Center of Long Island University Dalhousie University/King's College Dartmouth College Davidson College Dawson (CEGEP) College DeKalb University Delaware Valley College Delft Denison University DePaul University DePaul University Law School DePauw University Dickinson College Dnepropetrovsk Drake University Drew University Drexel University Duke University Duquesne University Earlham College East Carolina University Eastern Michigan University Edinburgh Elizabethtown College Elon College Emerson College Emory University Essex Community College Fairleigh Dickinson University - Madison Fairleigh Dickinson University - Teaneck and Hackensack Fairleigh Dickinson - Israel Ferris State University Fitchburg State Colleg Florida Atlantic University Florida Institute of Technology - Melbourne Florida International University - North Florida International University - University Park South Florida State University Framingham State College Frankfurt Franklin & Marshall College Frostburg State University Gallaudet University George Mason University George Washington University Georgetown University Georgia Institute of Technology Georgia Perimeter College Georgia Southern University Georgia State University Gettysburg College Golden Gate University Goucher College Gratz College Greensboro College Grinnell College Grossmont Community College Guilford College Haifa University Hamilton College Hampshire College Harcum Junior College Harper Community College Harvard University & Radcliffe College Harvey Mudd College Hastings College of Law Haverford College Hebrew College Hebrew Union College--Jewish Institute of Religion/Cincinnati Hebrew Union College--Jewish Institute of Religion/Jerusalem Hebrew Union College--Jewish Institute of Religion/Los Angeles Hebrew Union College--Jewish Institute of Religion/New York Hebrew University Heidelberg High Point University Hillsdale College Hiram College Hobart and William Smith College Hofstra University Howard University Humboldt State University Illinois Institute of Technology Illinois State University Illinois Wesleyan University Indiana University Indiana University of Pennsylvania Iowa State University Ithaca College Jacksonville University James Madison University Jewish Theological Seminary of America John Abbott College John Carroll University John Marshall Law School Johns Hopkins University Johnson and Wales University Kansas State University Kean College of New Jersey Keene State College Kennesaw State University Kent State University Kenyon College Khabarovsk Kharkov Kiev Kishinev Knox College Kobe Kutztown University La Salle University Lafayette College Lawrence Technological University Leeds Lehigh University Lesley College Lewis & Clark College Life University London Long Island University - Brooklyn Campus Los Angeles Pierce College - Woodland Hills Los Angeles Valley College Louisiana State University Louisiana Technical University Loyola College Loyola Marymount University Loyola University Law School - California Loyola University - Chicago Loyola University - New Orleans Loyola University - Professional Schools Lvov Lynn University Macalester College Manhattanville College Marianopolis (CEGEP) College Marquette University Marshall University Mary Washington College Marymount Manhattan College Massachusetts Bay Community College Massachusetts Institute of Technology Max Weinreich Center for Advanced Jewish Studies McGill University McMaster University Memorial University Miami-Dade Community College Miami University Michigan State University Middlebury College Millersville University Mills College Minsk Monash University Monmouth University Montclair State University Montevideo Montgomery College Montgomery County Community College Moravian College Morris County Community College Moscow Mount Allison Mount Holyoke College Mount Vernon College Muhlenberg College National Louis University New College of the University of South Florida New England College New England Conservatory of Music New Jersey Institute of Technology - 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Carbondale Southern Methodist University Southwestern University Law School Stanford University Stephens College Stern College for Women Stevens Institute of Technology St. Fx St. Louis University St. Mary's College of Maryland St. Petersburg Suffolk University SUNY at Albany SUNY at Buffalo SUNY at Stony Brook SUNY College at Brockport SUNY College at Buffalo SUNY College at Cortland SUNY College at Fredonia SUNY College at Geneseo SUNY College at New Paltz SUNY College at Oneonta SUNY College at Oswego SUNY College at Potsdam SUNY College at Purchase SUNY Fashion Institute of Technology SUNY Rockland Community College Susquehanna University Swarthmore College Syracuse University Tashkent Technion-Israel Institute of Technology Tel Aviv University Temple University - Main and Ambler Texas A&M University Texas Tech University The Citadel - Military College of South Carolina The College of New Jersey The Hague The University of Memphis Tiblisi Tokyo Touro College Towson University Trinity College Truman State University Tufts University Tulane University and Newcomb College Ufa Ulyanovsk Union College United States Air Force Academy United States Coast Guard Academy United States Merchant Marine Academy United States Military Academy United States Naval Academy Universite De Moncton Universite de Montreal Universite du Quebec a Montreal University College of Cape Breton University of Akron University of Alabama University of Alaska University of Alberta University of Arizona University of Arkansas University of Auckland University of British Columbia University of Calgary University of California Medical School University of California - Berkeley University of California - Davis University of California - Irvine University of California - Los Angeles University of California - Riverside University of California - San Diego University of California - San Francisco University of California - Santa Barbara University of California - Santa Cruz University of Cape Town (UCT) University of Central Florida University of Chicago University of Cincinnati University of Colorado University of Connecticut University of Delaware University of Denver University of Detroit Law School University of Evansville University of Florida University of Georgia University of Hartford University of Hawai'i at Hilo University of Houston/ Law Center at the University of Houston University of Idaho University of Illinois at Chicago University of Illinois at Urbana - Champaign University of Iowa University of Judaism University of Kansas University of Kentucky University of Louisville University of Maine University of Manitoba University of Maryland at Baltimore University of Maryland - Baltimore County University of Maryland - College Park University of Massachusetts - Amherst University of Massachusetts - Boston Harbor University of Massachusetts - Dartmouth University of Massachusetts - Lowell University of Melbourne University of Miami University of Michigan University of Michigan - Dearborn University of Minnesota University of Mississippi University of Missouri - Columbia University of Missouri - St. Louis University of Nebraska - Lincoln University of Nebraska - Omaha University of Nevada - Las Vegas University of Nevada - Reno University of New Brunswick - Fredericton Campus University of New Hampshire University of New Mexico University of New Orleans University of New South Wales University of North Carolina - Chapel Hill University of North Carolina - Charlotte University of North Carolina - Greensboro University of North Dakota University of North Florida University of North Texas University of Northern Colorado University of Notre Dame University of Oklahoma University of Oregon University of Ottawa University of Pennsylvania University of Pittsburgh University of Pretoria University of Prince Edward Island University of Puget Sound University of Redlands University of Rhode Island University of Richmond University of Rochester University of San Diego University of San Francisco University of Saskatchewan University of South Carolina University of South Florida University of Southern California University of Sydney University of Tampa University of Tennessee Memphis--Medical - Nursing School - and Allied Health University of Tennessee - Chattanooga University of Tennessee - Knoxville University of Texas at Austin University of Texas at El Paso University of Texas Medical School/Health Science Center University of Texas - Dallas University of Texas - San Antonio University of the Sciences in Philadelphia University of the Witwatersrand University of Toledo University of Toronto University of Tulsa University of Utah University of Vermont University of Virginia University of Washington University of Waterloo University of Western Ontario University of Windsor University of Winnipeg University of Wisconsin University of Wisconsin - Milwaukee University of Wyoming Urals Ursinus College Vanderbilt University Vanier (CEGEP) College Vassar College Vienna Villanova University Virginia Commonwealth University Virginia Polytechnic Institute and State University Wake Forest University Washington and Jefferson College Washington and Lee University Washington College Washington State University Washington University Wayne State University Webster University Weizmann Institute of Science Wellesley College Wesleyan University West Chester University West Virginia University Westchester Community College Western Illinois University Western Maryland College Western Michigan University Western New England College Western Washington University Westfield State College Wheaton College Wheelock College Whittier College Wichita State University Widener University William Patterson College William S. Scholl School of Podiatry Williams College Worcester Polytechnic Institute Yale University Yeshiva University Stern College for Women Sy Syms School of Business York College of Pennsylvania York University Other If your school is not in the above list, please select "Other" and enter the school name here:

I ama: <Pick One> Undergraduate Student Graduate Student

First name: Last name:

Address: Address line 2:

City: State: <State/Province> AB AK AL AR AS AZ BC CA CO CT DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA MB MD ME MH MI MN MO MP MS MT NB NC ND NE NF NH NJ NM NS NT NV NY OH OK ON OR PA PE PR PW QC RI SC SD SK TN TX UT VA VI VT WA WI WV WY YT

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Phone (Personal number, not Hillel's): Fax:

* E-mail: If your grant application is approved, we would like to send congratulations to your parents or guardians as well! (Optional) First name: Last name: Email: First name: Last name: Email:

Grant Information

* Initiative title: * Start date of initiative: <Month> 01 02 03 04 05 06 07 08 09 10 11 12 <Day> 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 <Year> 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 End date of initiative: <Month> 01 02 03 04 05 06 07 08 09 10 11 12 <Day> 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 <Year> 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 Number of participants: Funding scale: Initiatives will be considered for funding according to the following scale based on the number of students impacted*: 800+ students: $7500 500 - 800 students: $5000 200 - 500 students: $3000 100 - 200 students: $1500 *Your application should indicate primary ways students will be impacted as well as student populations targeted for impact. For example, a campaign designed to shape perspectives of the editors of major campus newspapers might impact the entire readership of those campus publications. * Amount of funding requested (must match amount on Budget Form at end of the application): $ Total initiative budget amount (must match amount on Budget Form at end of the application): $

If funding received, make check payable to:

Checks must be made out to a Hillel or affiliated Hillel Student Organization. Checks will not be made out to individuals.

Hillel professional/advisor name:

Hillel professional/advisor title:

Hillel professional/advisor e-mail:

Organization name:

Address line 1: Address line 2:

City: State: <State/Province> AB AK AL AR AS AZ BC CA CO CT DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA MB MD ME MH MI MN MO MP MS MT NB NC ND NE NF NH NJ NM NS NT NV NY OH OK ON OR PA PE PR PW QC RI SC SD SK TN TX UT VA VI VT WA WI WV WY YT

Postal/Zip code: Country:

Campus phone:

Initiative Information

(You can paste text into the fields below, but only plain text is allowed - no bullets or formatting.) What are the outcomes that you are trying to achieve? What do you want participants to do as a result of this initiative and how will they be impacted? (50 words maximum) * Provide a short description of the initiative and how you will deliver the articulated outcomes. (What is it? Who is involved? How is it innovative?) (200 words maximum) How does your initiative achieve the desired outcome? * You must effectively address the following criteria in order to be considered for funding. Follow- through component • Initiatives must include a detailed plan for follow-through designed to connect with students on an ongoing basis. You should anticipate how you plan to build relationships with the people impacted by the initiative and what their interests are. In order to follow-up with participants it is important that you create and demonstrate a strategy for name collection, relationship building (Facebook, etc.) and gathering participants' interests, contact information, etc. This plan should also facilitate ways for follow-through to impact campus culture or significantly enhance Jewish life. • Proposals should include a compelling vision and/or strategy for achieving the long-term goals of the initiative, including how follow-through helps achieve these objectives. • Proposals should include anticipated ways for students to continue their involvement either with the initiative directly or connecting to other areas of Jewish life. Broad student reach • Initiatives must reach and impact a significant number of students; targeted experiences can be focused on a smaller number of student activists in order to accomplish broader objectives. • Initiatives will be considered for funding according to the number of students impacted Interactive and experiential • Initiatives must bring students together as active participants in accumulating knowledge, skills, thoughts, feelings, memories or relationships. • Artists, speakers, educators, musicians, performances, and presentations must only be included in order to advance the interactive and experiential components. • Food cannot be a primary expense of funded initiatives and should not represent more than 25% of the total funding requested. Jewish life Initiatives must significantly impact campus culture, demonstrating the relevance of the following Jewish values in students’ lives: • All initiatives must exhibit:    ° A pluralistic, welcoming, and inclusive environment    ° Student growth and the balance in being distinctively Jewish and universally human • * Initiatives must advance at least one of the following in a Jewish context: (Check all that apply) Social Justice: Engaging in acts of loving-kindness or repairing the world, and encouraging creative & strategic action in addressing social issues. Jewish Learning: Celebrating Jewish life and heritage through experiencin and learning rituals, prayers, texts, life-cycle events, or Jewish holidays. Spirtituality:Experiencing awe, wonder, and amazement in that which is greater than ourselves through the exploration of faith, belief, and life’s ‘big’ questions. Israel: Exploring educational, cultural, or political aspects of Israel or advocating for Israel as the Jewish and democratic state within secure and recognized borders and as a member of the family of free nations. Jewish Peoplehood: Connecting Jews across time and space with a familial bond based on the shared heritage, memory, history, language, and culture of Jewish civilization. Provide a detailed explanation of the initiative, including how it addresses all of the selected criteria. (1000 words maximum) Provide a detailed timeline, including both planning and implementation steps. Optional: Please include any relevant materials that may support your request. To attach files (up to three attachments): 1. Click on the "Browse" button. A new window will open. If you don't see a browse button, or if you want to attach more than three files, please e-mail the files to grants@hillel.org as an attachment. 2. If you are using Windows, there will be a pull down menu at the bottom of the new window called "Files of Type" or something similar. Change this to "All Files" or you may not be able to find your files. 3. Navigate to the folder that has your files, and either select your file and then click "Open" or double click on your file. 4. Repeat steps 1-3 if you want to attach more files. 5. Continue with the application. First Attachment: Second Attachment: Third Attachment:

Grant Budget

Please complete the itemized budget form, making sure to follow all of these guidelines: List all sources of income. Balance income and expenses. Mark the expenses for which you would like the grant to be used by checking off "Grant Funding." Mark the status of all sources of income according the following: Committed funds: Funds that are already secured. Requested funds: Funds requested but not yet confirmed. Denied funds: Funds requested but denied. All amounts must be listed in U.S. dollars. If converting from another currency, please include conversion rate here: Applications that demonstrate financial co-sponsorship are favored. Proposed Income Campus Organizations Status 1. $ <Status> Committed Requested Denied 2. $ <Status> Committed Requested Denied 3. $ <Status> Committed Requested Denied Total $ Local Community (e.g. funding from Federations, synagogues, JCRCs, etc.) 1. $ <Status> Committed Requested Denied 2. $ <Status> Committed Requested Denied 3. $ <Status> Committed Requested Denied Total $ Participant Fees Number of paying participants: Fee per participant: $ Total participant fees $ Other Income Sources 1. $ <Status> Committed Requested Denied 2. $ <Status> Committed Requested Denied 3. $ <Status> Committed Requested Denied Total $ Request of funding for this Grant Application $ Total Income $ Proposed Expenses Funding Requested as Part of this Application Publicity 1. $ Fund 2. $ Fund 3. $ Fund Total $ Supplies 1. $ Fund 2. $ Fund 3. $ Fund 4. $ Fund Total $ Transportation 1. $ Fund 2. $ Fund 3. $ Fund Total $ Accommodations 1. $ Fund 2. $ Fund 3. $ Fund Total $ Facility Rental 1. $ Fund 2. $ Fund 3. $ Fund Total $ Equipment Rental 1. $ Fund 2. $ Fund 3. $ Fund Total $ Other (Honoraria, etc.) 1. $ Fund 2. $ Fund 3. $ Fund 4. $ Fund 5. $ Fund 6. $ Fund Total $ Total Expenses $

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