Silver Lining Buddy System: Making Intergenerational Friendships

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First Name

Last Name

* Phone #

* How did you hear about this program?

What partner are you affiliated with?

Congregation Mishkan TefilaHebrew Senior Life2Life CommunitiesCongregation Kehilith IsraelJewish Family & Children's ServicesOther

Please list other affiliations.

If you are a member of a synagogue, please indicate which one.

I am able to commit to speaking with my buddy up to twice a week.

I allow my phone number to be shared with my buddy.

I will contact Mishkan Tefila if I have any concerns about conversations with my buddy.

I would like a Russian speaking Buddy if possible.

Tue, January 26 2021 13 Shevat 5781