Form | Wexner

Welcome to the 2025 Wexner Heritage Program nomination form!

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Nomination Form

Northern New Jersey 25 Cohort (Beginning Summer of 2025)

You may nominate yourself for this program. If so, you can put your information as both the nominator and the nominee.

Nominator Information (i.e. Information about you)

Nominator First Name

Nominator Last Name

Nominator Email

Nominator Phone Number

Nominator Communal Institution/Organization (If applicable, for example, a particular synagogue, Jewish agency, etc.)

Nominator Title/Position (If applicable, for example, Rabbi, Cantor, Executive Director, etc.)

Have you participated in a Wexner Foundation leadership initiative before? If so, please indicate your class and year.

Nominee Information (i.e. Information about who you are nominating)

Nominee First Name

Nominee Last name

Nominee Email

Nominee Phone Number

Age (Please note: Our program is directed towards people between the approximate ages of 30 and 45)

Does the nominee live in Bergen, Passaic, or Hudson counties?

Yes

If not, please identify where the nominee lives.

Does the nominee work professionally in the Jewish community? (Please note: The Wexner Heritage Program is for volunteer Jewish leaders, not Jewish professionals)

Yes

Is the nominee married to someone who has already participated in the Wexner Heritage Program?

Yes

How do you know the nominee? How do you think the WHP will enhance the nominee’s leadership potential in your community?

For those nominating themselves: please provide the name of one reference, either: 1) a professional at a Jewish communal organization, 2) a lay leader (i.e. volunteer) in the Jewish community, or 3) an alum of a Wexner Foundation program, who can vouch for your candidacy for a program of Jewish leadership.

Reference Name

Reference Email

Reference Phone Number