BINA 2023-24 Gap Year in Israel Application - Personal Questionnaire
Thank you for taking your time to apply to BINA's Gap Year in Israel.
The application is made up of this personal questionnaire, followed by a medical form and 3 essay questions.
If you have any questions, please be in touch with Taylor Kleeman - Admissions and Marketing Coordinator - taylor@bina.org.il. 
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Email *
First Name *
Middle Name
Last Name *
Nickname
Preferred Pronouns (optional)
Date of Birth *
MM
/
DD
/
YYYY
Country of Birth *
Citizenship *
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