SIJ@Harova Application 2024

General Information
Name*
First Last
Email*
Cell Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Date of Birth*
MM slash DD slash YYYY
What high school did you attend?*
If you went on a gap year, which program did you attend? (if not, write N/A)*
If you answered no to the above question, have you ever been on an Israel program that was more than 3 months?
- Yes
- No
If yes, which one
What college do you attend?*
What is your current year in college?*
What is your major or intended major?*
Headshot*
Max. file size: 512 MB.
Most Recent Resume*
Max. file size: 512 MB.
Are you a Yavneh Fellow?*
- Yes
- No
How did you hear about our program?*
Please write a few sentences about why you would like to come on this program. What would you like to accomplish in these 7 weeks?*
Please list 3 fields that you would be interested in for your internship this summer:*
Please list 3 Judaic topics you would like to explore more this summer*
References
Please provide one professional reference and one reference from a Jewish mentor (this could be rabbi, rebbetzin, teacher, camp counselor, etc.)
Professional Reference Name*
Prefix First Last
Email*
Phone number*
Relationship to applicant*
Jewish Mentor Reference Name*
Prefix First Last
Email*
Phone*
Relationship to applicant*
Emergency Contact Information
Parent/Legal Guardian #1:*
First Last
Email*
Cell Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Relationship to applicant*
Parent/Legal Guardian #2*
First Last
Email*
Cell Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Relationship to applicant*
Payment
Application Fee*
Price:
There is a $50 nonrefundable fee for this application
Coupon
Total
$0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Application Fee Consent*
I understand that this application fee is not refundable
I understand the the dates of this program are from June 26 - August 14 and I am available for all dates*
Yes, I am available for all dates
***Please note that our participants are required to be present for all of our program dates. Students may not arrive late, leave early or leave for a period of time mid program without permissions from Yonina Rosenthal.

General Information

References

Emergency Contact Information

Payment