Teen Civil Rights Journey Registration

"*" indicates required fields

Application Process

Participants must be fully vaccinated to attend. To participate in this capstone experience, final acceptance will be decided after an interview and include consideration of personal statements. This will help to assure that the program and applicant are a good match. The interview will be arranged upon receipt and review of the application.
MM slash DD slash YYYY
Have you ever participated in a summer program?*
Max. file size: 128 MB.
Please include a recent clear photo of the applicant.

Parent Information

Does the applicant live with both parents?*

Teacher Reference

Please provide the name and email address of a high school teacher. We will send an email to the teacher that addresses the applicant's academic ability to take advantage of the educational aspect of the capstone experience. We will send an automated survey email to the teacher reference.

Emergency Contact

Please provide the name and contact information for the person who would be reliably available during the time of the trip.
Max. file size: 128 MB.
Please upload photos or a scanned image of the front and back of the participant's health insurance card.

Personal Statements

Please complete the questions below. Statements should be the applicant's original thoughts. Please limit each statement to 300 words.


Photo Release and Liability Agreement*
By registering for this event, the participants agrees that their picture and/or video may be taken and potentially used in Jewish Federation marketing material and social media.

Payment Information

When you submit your application, you will be redirected to a payment form to complete your registration. Thank you.
This field is for validation purposes and should be left unchanged.
Scroll to Top