SCHOLARSHIP TO ISRAEL

*= Required Fields (Applications will not be processed unless they are filled out correctly).

Applications are accepted year-round.

Application

Scholarships to Israel

General Info

First Name *

Last Name *

Age *

Gender *

Male

Female

Add a Photo of Yourself *

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Maximum upload size: 1.54MB

How did you hear about us? *

When do you plan on coming to learn in Israel? *

When do you plan on leaving Israel? *

Are you coming to Israel on an organized trip, program or with a school? *

Yes

No

If yes which program or school? Be specific please..

Which one? *

What plans do you have when you return from Israel? *

PERSONAL CONTACT INFORMATION:

Address *

City *

State *

Zip Code *

Cell Number in Israel *

WhatsApp Number *

Email Address (double check) *

Family Background:

Was your Mother born Jewish? *

Yes

No

Was your Father born Jewish? *

Yes

No

If not, please summarize your Mother's conversion history if any: *

If not, please summarize your Father's conversion history if any: *

Jewish Background:

What Jewish Education have you had? * Hebrew School/Sunday School (Pre Age 13) Hebrew School/Sunday School (Post Age 13) Jewish Day School Yeshiva High School Other What Jewish Education have you had?

How many years did you attend? *

Affiliation of your Hebrew School? * Reform Conservative Orthodox Unaffiliated

How many years did you attend Day School? *

Affiliation of your Day School? * Reform Conservative Orthodox Unaffiliated

Your current Jewish Affiliation: * Reform Conservative Orthodox Unaffiliated Other Your current Jewish Affiliation:

Are you Sephardic or Ashkenaz? * Sephardic Ashkenaz

In a few lines, please describe your Jewish background. Do you belong to a Synagogue, or any other Jewish Organizations? How would you describe your daily Jewish practices? *

Have you been to Israel before? *

Yes

No

Please explain the nature of your former trips: *

SCHOOL INFORMATION AND EDUCATIONAL BACKGROUND:

Elementary School, name and location: *

High School, name and location: *

University/College, name and location: *

Current status: * Freshman Sophomore Junior Senior College Grad Graduate School Grad School Grad Other Current status:

Name & Location of Grad School *

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Photo of your passport (Passport Number and Expiration date must be Clearly Legible) *

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Maximum upload size: 1.54MB

Please provide the full contact information of 2 references who know you and would be able to verify the above information (Rabbi/teacher)

Reference 1 & 2 * Reference 1 (Title and Full Name) (Email) (Phone) (Address) Reference 2 (Title and Full Name) (Email) (Phone) (Address)

EMPLOYMENT INFORMATION (Mandatory if graduated.)

Job Title: *

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