JLIC Summer Volunteer Trip 2025 - JLIC

JLIC Summer Volunteer Trip 2025

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General Information

Name*

First Last

Email*

Cell Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Gender*

Date of Birth*

I am interested in...*

University*

Yeshiva/Midrasha you attended in Israel if applicable*

Are you a Yavneh Fellow?*

Yes

No

Have you done JLIC Summer or Volunteer Program (including if you plan to participate in one this summer)? If yes, which one?*

Have you done any other Birthright Volunteer Trip?*

Yes

No

Dietary Restrictions*

I understand that this Volunteer trip is an 8 day trip and I must be present for all 8 days*

I Understand

Emergency Contact Information

Parent/Legal Guardian #1:*

First Last

Email*

Cell Phone*

Relationship to applicant*

Parent/Legal Guardian #2*

First Last

Email*

Cell Phone*

Relationship to applicant*

Emergency Contact in Israel*

First Last

Email*

Cell Phone*

Relationship to applicant*