Is the applicant Jewish?
Is the applicant a member or affiliated with any of the following Jewish teen groups? (Check all that apply)
Is the applicant a participant in formal Jewish education classes through any of the following? (Check all that apply)
Is the applicant a madrich/madricha at any of the area religious schools?
Is the applicant’s family a member of or affiliated with any of the following? (Check all that apply)
Has the applicant ever been to Israel before?
If yes, please state the program or purpose of the trip and the length of stay.
Applicant’s Statement of Intent
Provide a brief description explaining why you would like to attend a program in Israel and why you are choosing this particular program? In recognition of different learning styles, abilities, and preferences, alternative options to the essay portion of this application are welcome. Some possible alternatives include, but are not limited to: an art project, video, or oral presentation. If providing an alternative form of statement, please indicate below.