Katz Phillips Leadership Development Program Nomination Form

More information on the Katz Phillips Leadership Development Program here.

Nominations are due by January 31, 2026.

This form is for an individual or for a couple.

If appropriate, please nominate BOTH members of a couple (this includes engaged couples).

At least one member of the nominated couple must be Jewish and both must be between the ages of 28-45

Your Email

Is this form for an individual or couple?

Nominees Name- If nominating a couple, please add the information for both separated with a comma.

Address

Phone Number

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Relationship Status

Age(s) (approximate) or Birthdate(s) with year:

Is this person(s) Jewish?

Congregation Affiliation:

Does this person/couple have children? (Y/N) If so, how many? Ages:

Occupation(s)

Name of Employer(s):

Family members’ names living in or from New Orleans &/or LA and relationship(s):

Do you feel this person/couple is committed to staying in New Orleans? Please explain.

Has this person/couple expressed an interest in participating in Katz-Phillips?

Current or Previous Community Involvement (organizational affiliations/participation): Jewish:

General Community Involvement:

Please state why you feel this person/couple would benefit from the Katz-Phillips Program:

If you cannot fully complete this form, please name a non-relative who we can contact for more info (Name/Phone/Email):

Nomination submitted by (please print): Name/Phone/Email

Additional comments?

Thank you for your nomination! This form has been sent to Sherri Tarr.

Any questions? Contact her at 504-780-5609, [email protected]

3747 W. Esplanade Ave., Metairie, 70002

Almost done. Where should we send the confirmation?

Name

Mobile Phone Number

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

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