Coral Springs / Parkland Coral Springs Chapter Elections Student Name* First Last Students Cell Phone Number*Student Email* School Name*What is the name of your JSU Director?*Coral Springs/Parkland - R' Ben KleinBoca Raton - R' Shmuel BarakBroward County/Hollywood - R'Moshe FreilichGreater Miami - Rachel BrecherBen Gamla - David CohenPalm Beach - Aryeh BerzonJAX - Joey HamaouiSavannah - R’ Eli LobGrade as of August 2021*101112What position are you running for?*Why are you running for this position in particular?*I would be interested in spending the Summer in Israel?*YesNoMaybePlease Visit ncsy.org/tjjWhat extracurricular activities (clubs, teams etc) are you currently or planning to be involved in during the next school year?*What are you doing this Summer?*What leadership roles have you held in the past?*What strengths, talents, or hobbies can you bring as a member of your Chapter board?*What goals do you have for your Chapter board this year and what would you do to grow the Chapter?*Why is the JSU club in your school important to you?*We will be having a leadership day for the new board members in June (Date to be announced). Do you think you will be able to attend?*YesNoI'll do my best to be there.In order to ensure understanding and a sense of commitment to my position, I agree to enthusiastically participate in a leadership position in my Chapter.* I agree For ParentsIn order to ensure understanding and a sense of commitment to my son’s / daughter’s position, I agree to support and encourage my child’s commitment to a leadership position on the chapter Board.Parents Name* First Last Parents Email* A copy of this form will be sent to this parent email address.