Primary affiliation NoneYachadMakor Mentor Signup Form Welcome! 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? Title Please select... Mr. Ms. Miss Mrs. Dr. Prof. Rabbi Rebbetzin First Name Last Name Country Please select... United States Israel Argentina Australia Austria Belgium Brazil Canada Chile Colombia Finland France Georgia Germany Ghana Hungary Ireland Italy Japan Mexico Netherlands New Zealand Nigeria Norway Panama Poland Portugal Romania Russia South Africa Spain Sweden Switzerland Thailand Turkey Ukraine United Kingdom Venezuela Virgin Islands, British Other Zip/Postal Code City State Email Mobile Phone (only enter numbers and please include the country code) e.g. In US: 13015551212, In Israel: 972585551212 Gender Please select... Male Female Marital Status Please select... Single Married Divorced Widowed Date of birth What 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... Accounting Actuary Administrative/Clerical Advertising Architect Arts/Entertainment/Media Auto Mechanic Biotechnology Business Clergy Construction Cosmetology (Hair, Makeup, Nails) Customer Service Dentist Early Childhood/Childcare (pre-school) Education (K-12) Education, undergraduate to adult Engineering Executive Financial Services Fitness instructor/trainer Food Service/Preparation Graphic Design Government Healthcare, not physician/nurse Homemaker Hospitality Human Resources Information Technology Insurance Interior Design Law Enforcement Lawyer Legal, non-lawyer Librarian Manufacturing/Production Marketing Non-profit Nurse Physical/Occupational Therapist (inc. other therapy modalities) Physician Rabbi/Outreach Real Estate Retail/Wholesale Sales Science Speech & Language Pathologist/Audiologist Student Telecommunications Therapist/Psychologist/Social Worker Transportation/Warehouse Utilities- Installation/Maintenance/Repair Writer/Editor/Proofreader Retired Unemployed Other 👍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.) Outgoing Funny Deep Practical Spontaneous Organized Reliable Reserved Calm Energetic Articulate Skeptical Warm Intellectual Fun-loving Imaginative Emotional Spiritual Optimistic Inquisitive Philosophical Worldly Driven Communicative Sophisticated Unconventional Which do you feel most closely describes your Jewish identity? Please select... Orthodox Chabad Chassidish Heimish Yeshivish/Chareidi Just Jewish Traditional Which of these topics are you able to learn with a partner? (Select all that apply.) Basics of Judaism Prayer (Tefilla) Personal Growth / Character Development Dating / Relationships Marriage Parenting Laws of Daily Living (Halacha) Spirituality Meditation/ Mindfulness Women and Judaism Five Books of Moses (Chumash) Prophets (Navi) Weekly Torah Portion (Parsha) Shabbat & Holidays Philosophy Jewish History Talmud (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 disability A 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 country Phone: Israel to US / US to Israel Phone: all international calls Zoom Whatsapp voice or video call Google hangouts voice or video call Facetime If a student was local to you, would you be open to learning in-person? Please select... Yes No, I would prefer not When are you available to study with your partner? (Time zone local to the city/state you listed above.) 6am 7am 8am 9am 10am 11am 12pm 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm 9pm 10pm 11pm Sunday Monday Tuesday Wenesday Thursday 6am 7am 8am 9am 10am 11am 12pm Friday 6pm 7pm 8pm 9pm 10pm 11pm Saturday 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. Thank you for signing up! We will be in touch with you as soon as we have found you a potential student. We can only offer this resource thanks to individuals like you! Get inspiration sent straight toyour inbox every week! Subscribe × Subscribe to Our Weekly Newsletter Subscribe