Connecting @ Home Series – Host Application
Launched in May 2020, 'Connecting @ Home Series' is a brand-new way for Americans/Canadians & Israelis to form a community, share an experience, & be #BetterTogether.

This program creates a virtual, shared experience over Zoom. Through one hourlong sessions each week for four consecutive weeks, you'll connect with a group of 7-12 people in a session facilitated by you - the host!

The sessions are focused on meeting new people, creating community, & connecting through meaningful conversations, sharing new perspectives, exploring how we see the world, & having fun while doing it!

Each session will require a few minutes of "prep work" before and and after.

If you are applying to be a host, you are someone who is a...

- Strong facilitator with proven experience
- Natural connector of people – this is all about building new community
- "Pusher" – you know the line between pushing people outside their comfort zone and being uncomfortable
- Fun! This requires someone who can bring the fun to a new group
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First Name: *
Last Name: *
Email Address: *
Phone Number: *
What city & state are you located in? *
Have you ever gone on a Birthright Israel trip with Shorashim before? *
Have you ever staffed a Birthright Israel trip with Shorashim Before? *
Are you currently? *
How were you raised? *
Please check one or more options for the set(s) of pronouns you want people to use to refer to you
As hosts, facilitation is really important to build these communities. Please tell us about a time that you successfully facilitated a conversation with a group. *
Which times would work for you for our weekly 60 minute sessions? It is a four-week-long program. *
Please check all that apply
Required
Would you be interested in staffing a Birthright Israel experience with Shorashim in the future? *
Which age groupings are you willing to facilitate? *
Required
What is your age?
What's your Profession?
If you are not a host for this program, would you be interested in joining as a participant? *
Is there anyone else we should reach out to who might be interested in this program, Shorashim' Connecting @ Home Series? If yes, what are their names and phone numbers!
Who do you know who is eligible for Birthright Israel? Think of friends, family members, neighbors, etc. Please include full names, phone numbers and/or emails!
Audio & Video Recording and Privacy Policies
By submitting this form, I agree to the terms and conditions contained by Shorashim's audio and video recording policy.
By participating in the Better Together program, you agree that Shorashim may use your photograph, video, audio, or other recordings made of you during the program for promotional, marketing, and fundraising purposes.  Read Shorashim’s Audio and Video Recording Policy & Release (bit.ly/shorashimavpolicyrelease) and read Shorashim’s Privacy Policy (bit.ly/shorashim_privacypolicy)

By submitting this form, I agree to the terms and conditions contained by Shorashim's Audio and Video Recording Policy and Release and Shorashim’s Privacy Policy.
Disclaimer
The #BetterTogether program is designed as a platform for sharing ideas and activities.  Shorashim is not responsible for the ideas and thoughts expressed, the content provided, or the safety of any activities modeled during #BetterTogether programs.  Consult a doctor or medical professional prior to engaging in any physical activities, and ensure adult supervision of any children participating in activities.
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