Referral - Jewish Connection Network

Connector Name(Required)

Select your name...

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Connector Email

Date of Referral(Required)

How many referrals did you make?(Required)

Please enter a number from 1 to 4.

Type of Referral #1(Required)

Community Referral= Referral made to a community organization, like a synagogue, school, JCC, etc.
Connector Referral= Referral made to another connector
Friend Referral= Referral made to another community member- a social connection

Community Organization(Required)

Other Organization Name(Required)

Friend

Details about the Referral

Include who you connected the community member to (for community referral) and why you made the referral.

Type of Referral #2(Required)

Community Referral= Referral made to a community organization, like a synagogue, school, JCC, etc.
Connector Referral= Referral made to another connector
Friend Referral= Referral made to another community member- a social connection

Community Organization(Required)

Other Organization Name(Required)

Friend

Details about the Referral

Include who you connected the community member to (for community referral) and why you made the referral.

Type of Referral #3(Required)

Community Referral= Referral made to a community organization, like a synagogue, school, JCC, etc.
Connector Referral= Referral made to another connector
Friend Referral= Referral made to another community member- a social connection

Community Organization(Required)

Other Organization Name(Required)

Friend

Details about the Referral

Include who you connected the community member to (for community referral) and why you made the referral.

Type of Referral #4(Required)

Community Referral= Referral made to a community organization, like a synagogue, school, JCC, etc.
Connector Referral= Referral made to another connector
Friend Referral= Referral made to another community member- a social connection

Community Organization(Required)

Other Organization Name(Required)

Friend

Details about the Referral

Include who you connected the community member to (for community referral) and why you made the referral.