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Adamah Youth Movement Program Inquiry Form
The Adamah Youth Movement develops Jewish teens into leaders for our people and our planet. Together, we draw on Jewish wisdom, build joyful community, and take action to create a more just, resilient, and sustainable future. Learn more about our program
here
. Use this form to request a program from either an Adamah Youth Movement staff educator or teen leader. Our trained educators can facilitate a variety of different programs and experiences, including nature volunteer days, Earth-based Jewish rituals, emotional resiliency workshops, outdoor adventures/immersives, climate science education sessions, and more. If you'd like to have one of our teens come speak directly to your group, they can lead a similar program, and / or share about their experience as a member of the Adamah Youth Movement.
Once you fill out this form, we will be in touch to discuss logistics and program content. We are excited to bring a meaningful and impactful program to your teen group!
If you have additional questions, please email
teens@adamah.org
.
About You
Salutation
Please select...
Mr.
Ms.
Mrs.
Mx.
Dr.
Prof.
Rabbi
Rabbanit
Cantor
Kohenet
Reverend
First Name
Middle Name
Last Name
Email Address
About Your Organization
What is the name of your teen group?
What organization or institution are you affiliated with?
City
State/Province
Please select...
AL
AK
AZ
AR
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
CA-NL
CA-PE
CA-NS
CA-NB
CA-QC
CA-ON
CA-MB
CA-SK
CA-AB
CA-BC
CA-YT
CA-NT
CA-NU
Zip Code
Org Account ID
Tier B Program Record ID
By submitting this form, you consent to receive emails about this initiative. Would you like to be added to the national Adamah newsletter list?
Yes
Would you like to be added to the Adamah Youth Movement newsletter list?
Yes
Are you requesting a program for a specific event?
Yes
No
What's the event name?
How many teens are in your group and/or how many teens will be at the event? An estimate is fine.
What type of program are you looking for? Examples: Jewish learning session, guided nature experience, hands-on craft, climate/environment education, etc.
Note: While we have a variety of exciting programs pre-developed, if you're looking for something specific, we are happy to work with you to develop something new. Please note that developing a new program will likely cost extra.
What format of program are you looking for? Examples: guest speaker, breakout session, large group training, etc. We can also offer virtual programming in cities where we don't have staff on the ground.
When would you like to have the program?
Note: Except in extenuating circumstances, we require at least one month advance notice for program requests.
Would you rather have a staff educator or teen leader to facilitate the program?
Staff educator
Teen leader
I’m not sure; let’s discuss!
Is there anything else you'd like us to know?
Please click the button below only once. If you encounter an error that you cannot resolve, please reach out to data@adamah.org.
Contact Information