Adult Engagement Program Submission Form
Would you like to hold a class, event or program at Central Synagogue? Please fill out this form.
Your Title (if applicable)
Name of Organization (if applicable)
Location of Organization (if applicable)
Website Address (if applicable)
Are you the presenter?
If you are not the presenter, please fill in his/her name and contact information here:
Type of Program
Class or Lecture
If you selected other, please write in the type of program here.
Is your program a one-time event, or multi-part series?
Please provide a brief description of your program here.
Program Cost/Honorarium (if applicable)
Do you have a specific date in mind for your program?
If you answered yes to the previous question, please write the date (or dates) here.
Do Not Fill This Out