J-CARE Israel Application 2021

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Please answer the following questions as best you can. All information will remain confidential. Please answer honestly, so that we can get a good picture of you and the unique experiences and skills you bring to the program.
If you have any questions about filling out the form, please contact us at chanagrove@gmail.com

Email *

What’s your name? *

What's your cell #? *

What’s your date of birth? *

YYYY

What's your address? *

What's your marital status? *

Single

Married

Other

What are your hobbies? (Art & Crafts, Musical Instruments, Sports, etc.) *

What's your current occupation? *

Where did you go to H.S./College/Graduate School and when did you graduate? *

Please list any prior volunteer experience: *

Do you speak any languages other than English? If yes, please list the languages. *

Would you be interested in tutoring or giving lessons? What subjects/instruments etc.? *

How engaged are you in the Jewish community at the moment? *

Very involved

Somewhat involved

Minimally involved

Other

Describe your previous Jewish educational experiences (Hebrew School etc.), if applicable *

Synagogue affiliation (you or your family), if any *

Please describe your Jewish ancestry. *

Both parents born Jewish

Mother born Jewish

Father born Jewish

Mother converted

Father converted

I converted

Adopted

Please tell us why you are interested in this opportunity and what you feel you will bring to the program. *

Please provide us with a personal reference that knows you well. Be sure to include contact information for that person. *

Are you interested in traveling to Israel with us at the end of June to July 4th? *

Yes

Maybe

How did you find out about the J-Care program? *

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