Lev L’lev Mentor signup Testtruefalse Primary affiliationNoneYachadMakor Mentor Signup FormWelcome! By becoming a mentor with Partners in Torah's Lev L'Lev program, you will be positively impacting and contributing to the lives of Jewish teens and adults with special needs. How did you hear about Lev L'Lev?What is your name and contact information? First Name Last Name CountryPlease select...United StatesIsraelArgentinaAustraliaAustriaBelgiumBrazilCanadaChileColombiaFinlandFranceGeorgiaGermanyGhanaHungaryIrelandItalyJapanMexicoNetherlandsNew ZealandNigeriaNorwayPanamaPolandPortugalRomaniaRussiaSouth AfricaSpainSwedenSwitzerlandThailandTurkeyUkraineUnited KingdomVenezuelaVirgin Islands, BritishOther City State Email Mobile Phone (only enter numbers and please include the country code) e.g. In US: 13015551212, In Israel: 972585551212 GenderPlease select...MaleFemale Marital StatusPlease select...SingleMarriedDivorcedWidowed Date of birthWhat is your educational background? High School Yeshiva/Seminary College/Graduate School Field of Study What is your current employment field? If you are currently a student, please select "Student."Please select...AccountingActuaryAdministrative/ClericalAdvertisingArchitectArts/Entertainment/MediaAuto MechanicBiotechnologyBusinessClergyConstructionCosmetology (Hair, Makeup, Nails)Customer ServiceDentistEarly Childhood/Childcare (pre-school)Education (K-12)Education, undergraduate to adultEngineeringExecutiveFinancial ServicesFitness instructor/trainerFood Service/PreparationGraphic DesignGovernmentHealthcare, not physician/nurseHomemakerHospitalityHuman ResourcesInformation TechnologyInsuranceInterior DesignLaw EnforcementLawyerLegal, non-lawyerLibrarianManufacturing/ProductionMarketingNon-profitNursePhysical/Occupational Therapist (inc. other therapy modalities)PhysicianRabbi/OutreachReal EstateRetail/WholesaleSalesScienceSpeech & Language Pathologist/AudiologistStudentTelecommunicationsTherapist/Psychologist/Social WorkerTransportation/WarehouseUtilities- Installation/Maintenance/RepairWriter/Editor/ProofreaderRetiredUnemployedOther👍Great! Now let's find out about your personality and preferences. This will help us select the most suitable students for you. Which of these adjectives would a friend use when describing you? (Select all that apply.)OutgoingFunnyDeepPracticalSpontaneousOrganizedReliableReservedCalmEnergeticArticulateSkepticalWarmIntellectualFun-lovingImaginativeEmotionalSpiritualOptimisticInquisitivePhilosophicalWorldlyDrivenCommunicativeSophisticatedUnconventional Which do you feel most closely describes your Jewish identity?Please select...OrthodoxChabadChassidishHeimishYeshivish/ChareidiJust JewishTraditional Which of these topics are you able to learn with a partner? (Select all that apply.)Basics of JudaismPrayer (Tefilla)Personal Growth / Character DevelopmentDating / RelationshipsMarriageParentingLaws of Daily Living (Halacha)SpiritualityMeditation/ MindfulnessWomen and JudaismFive Books of Moses (Chumash)Prophets (Navi)Weekly Torah Portion (Parsha)Shabbat & HolidaysPhilosophyJewish HistoryTalmud (Gemara) / "The Daf"Hebrew reading skills Which of these people would you be comfortable studying with? (Select all that apply.)Someone considerably younger than me / a teenagerSomeone older than meSomeone who is elderlySomeone who is close to my own ageSomeone from a non-observant backgroundSomeone from an observant background Which type(s) of students are you willing to learn with? (Select all that apply)A student with a developmental/cognitive diagnosisA student with a mental health diagnosisA student with a medical diagnosisA student who is physically handicapped - vision or hearing impairmentA homebound seniorA student with learning disabilities Please indicate which of the following you are able to use for your learning sessions (choose all that apply):Phone: calls within my countryPhone: Israel to US / US to IsraelPhone: all international callsZoomWhatsapp voice or video callGoogle hangouts voice or video callFacetime If a student was local to you, would you be open to learning in-person?Please select...YesNo, I would prefer notWhen are you available to study with your partner? (Time zone local to the city/state you listed above.)6am7am8am9am10am11am12pm1pm2pm3pm4pm5pm6pm7pm8pm9pm10pm11pmSundayMondayTuesdayWenesdayThursday6am7am8am9am10am11am12pmFriday6pm7pm8pm9pm10pm11pmSaturday Please describe any experience you have had with children or adults with special needs Please let us know if you have any preferences regarding the Lev L'Lev student that we select for you. Contact Information
