Connector Baseline Engagement Assessment - Jewish Connection Network

Your Name:(Required)

What type of interaction/conversation is the information in this assessment based off of?(Required)

Note: selecting a type of interraction other than the "N/A" choices will create a new contact report in the database between you and this individual to reflect that you had a meeting that resulted in the notes included here. If you do not want an additional contact report created, select one of the "N/A" options.

What is their Preferred Email?

What is their Preferred Phone number?

Where do they live?

Jewish Friendships

Please share additional details about their current Jewish friendships or interest in forming new Jewish friendships:

(What informed how you answered the questions above?)

Personal/Home-Based Jewish Practice and Activities

Examples:
• Home Shabbat rituals
• Home holiday celebration
• Following Israel/Jewish News closely
• Listening to Jewish podcasts
• Reading Jewish Books - including to/with children
• Chevrutah learning
• Listening to Jewish music

Please share additional details about their personal Jewish practices/activities:

(What informed how you answered the questions above?)

Jewish Communal Connections

Examples:
• Synagogue membership, attendance, involvement
• School or camp events (as an adult participant)
• Associated/Associated System involvement
• Participants in Network Events
• Committee or Board involvement at a Jewish organization

Which organization(s)?

How FREQUENTLY does this community member participate in Jewish communal gatherings?(Required)

(at and beyond the Jewish organization they are most connected to, if applicable)

With what organization(s) and/or what roles?

Please share additional details about their current Jewish communal connections:

(What informed how you answered the questions above?)

Additional Information

Please share more about the life cycle event or moments of transition:

Additional notes about your conversation: