First name
Last name
Email
Mobile
1.
How are you feeling about going on this Derech Eretz trip?
2.
What would you like to get out of this Derech Eretz trip?
3.
How connected do you feel to First Nations Australia?
Please select
Deeply connected
Somewhat connected
Not at all connected
Unsure
4.
I feel knowledgeable about appropriate cultural sensitivity practices?
Please select
Strongly agree
Agree
Don't know
Disagree
Strongly disagree
5.
I feel knowledgeable about positive development models in working with First Nations communities.
Please select
Strongly agree
Agree
Don't know
Disagree
Strongly disagree
6.
I feel knowledgeable about First Nations history and current affairs.
Please select
Strongly agree
Agree
Don't know
Disagree
Strongly disagree
7.
I feel connected to my Jewish identity and community.
Please select
Strongly agree
Agree
Don't know
Disagree
Strongly disagree
8.
I have a basic understanding of Jewish history and social activism?
Please select
Strongly agree
Agree
Don't know
Disagree
Strongly disagree
9.
I can articulate the social justice obligations of Jews?
Please select
Strongly agree
Agree
Don't know
Disagree
Strongly disagree
10.
I can articulate the connection between the Jewish and partner communities' histories of social disadvantage?
Please select
Strongly agree
Agree
Don't know
Disagree
Strongly disagree
11.
I have a basic understanding of the histories of the Jewish community and partner communities and their experiences of social disadvantage?
Please select
Strongly agree
Agree
Don't know
Disagree
Strongly disagree
12.
I want to increase my skills and knowledge to pursue social justice issues in the Australian community?
Please select
Strongly agree
Agree
Don't know
Disagree
Strongly disagree