Katz Phillips Leadership Development Program Nomination Form

Nominations for the 2027-2029 class are due by January 31, 2027.

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.

Sessions for the 2027-2029 class begin in September 2027. The program also includes a mandatory mission to Israel, held from November 7-16, 2027.

Your Email

Is this form for an individual or couple?

Individual
Couple

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

Address

Phone Number

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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

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