PANIM's Summer JAM: Request an Application

“I have learned so much
over the past three weeks.
I have not only learned
about Judaism, mitzvah
work, and political activism, but I have also learned about myself and the kind of person I want to be.”
- Dana Gottleib
Chestnut Hill, MA

To request an application for Summer JAM, please fill out the following information. Once you have provided your contact info, you will be able to download the application in Adobe PDF format (You will need the Adobe PDF Reader to view the application). You will also receive the application via regular mail in 4 to 6 business days. We look forward to hearing from you!

If you are a professional (educator, rabbi, etc.) and are requesting recruitment materials, please use this form instead.

First Name:	*
Last Name:	*
Street Address:	*

City:	*
State:	*
Zip:	*
Phone:
Email:	*
High School Graduation Year:
How did you learn about JAM?
I am a...	High School Student Parent Other

(fields marked with an * are required)

6163 Executive Blvd| Rockville, MD 20852
(301) 770-5070 | Fax: (301) 770-6365 | summerjam@panim.org