MEOR Israel

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Thank you for your interest in the MEOR Israel Trip. Help us get you started on your application by providing some basic information below. All MEOR Israel participants are obligated to make a financial commitment toward their trip. Contact your campus rabbi to determine your obligation. Additionally, each participant is obligated to pay a $99 deposit which will be returned to the participant upon completion of survey given on the last day of the trip. If you would like someone to contact you by phone, please be sure to submit your phone number as well.

 

Program and Preferred Dates:
* Programs:
* School with which you intend to travel:
General Information:
* First Name:
* Last Name:
* Date of Birth:
* Email Address:
* Mobile Phone:
Passport No:
Passport Exp. Date:
Full Name on Passport:
* Gender:
Female Male
* Country of Birth:
Permanent Contact Information:
* Residence of:
* Street:
Unit #:
* City:
* State/Province:
* Zip:
* Country:
Home Phone:
Family Background:
Mother's First Name:   Father's First Name:
 
Mother's Last Name:   Father's Last Name:
 
Mother's Occupation:   Father's Occupation:
 
Mother's Phone (in case of emergency):   Father's Phone (in case of emergency):
 
     
Parents Marital Status:
* What religion were you born into?
* Into what religion was your biological mother born?
 
* Into what religion was your biological father born?
 
* Into what religion were your maternal grandparents born?
 
* Into what religion were your paternal grandparents born?
 
* Given your family's religious history, with which religion do you associate yourself?
 
* Please provide details of any conversions below. If not applicable, please type "none."
General Educational History:
High School
Location
Dates
Degree or Certificate Awarded
College or University
Location
Dates
Degree or Certificate Awarded
What degree are you pursuing?
What year did you begin school?
If you are not in school, how would you describe your current vocation?
In what extracurricular activities etc. are you involved? Please describe in what way you participate.
Jewish Educational History:
* What is the highest level of Jewish education with which you've been involved?
 
If you attended afternoon Hebrew School, how many years did you attend?
 
What was the Jewish Affiliation of your Hebrew School?
 
If you attended Jewish Day School, till what grade did you attend?
 
What was the Jewish affiliation of your Day school?
 
How would you describe your current Jewish affiliation?
 
How would you describe your Hebrew speaking skills?
 
How would you describe your Hebrew reading skills?
 
Please describe any leadership/professional positions you’ve held in Jewish organizations.
 
What Jewish schools (if any) did you attend?
School
Location
Dates Attended
Degree or Certificate Awarded
* Have you been to Israel before?
 
With whom (Please list all previous trips to Israel):
 
* Have you ever lived in Israel?
 
If you've previously lived in Israel, what was the length of your residence?
 
References:
Please include name, address, phone, relationship to you and the best time of day he or she can be reached. Please do not include family or friends.
Reference 1:
Name:
Relationship:
Address:
Phone Number:
Email Address:
Best time to reach him/her:
Reference 2:
Name:
Relationship:
Address:
Phone Number:
Email:
Best time to reach him/her:
Special Requirements:
Do you currently have, or did you in the past have any special health needs about which we should be aware?
Yes No
If so, please elaborate:  
Do you have any special dietary requirements?
If so, please elaborate:  
Are you currently taking any medication?
Yes No
If so, please elaborate:  
Have you ever been hospitalized?
Yes No
If so, please elaborate:  
Personal Statement:
* Please state your reasons for wanting to attend the Meor Israel Travel Experience:
How did you hear about the program?
 

An interview is required for all qualified applicants. Following acceptance, the full amount for the program will be due, and will be non-refundable, due to the heavily subsidized nature of the trip.

Also, owing to this fact, students agree to participate fully in all events and activities on the schedule in order to receive the scholarship. A working copy of the schedule will be available in advance for your review. Failure to fully participate in the program on arrival in Israel may result in the participant forfeiting his or her subsidy for that day, based on the program's true value (approximately $2,500.00) total. I, the participant, give Meor permission to charge my credit card on file to reimburse Meor for this pro-rated amount should I neglect to participate in the program after my arrival in Israel.

Also, by submitting this application you are certifying that everything you have filled out is true to the best of your knowledge. Full and honest reporting is essential for effective review by the Meor Israel application review board and misrepresentations could result in the applicant being responsible for the value of his or her scholarship awarded on the basis of false information.