Hevruta North American Application

Below is the Hevruta Gap Year Program at The Shalom Hartman Institute registration. This is a reminder that applicants must be in their final year of high school. For us to review your application, you should submit both parts of the form. Once you submit part 1, you will be redirected to part 2 automatically. All relevant applicants will be invited for a personal interview.

Application for fall 2021-2022 will be open starting September 10^th, 2020 and will close early March, 2021. Interviews will be held in the first two weeks of February.

If you are having difficulty submitting this form, or have any questions regarding the application process please contact us at office.hevruta@shi.org.il

טופס הרשמה לישראלים ניתן למצוא כאן

Personal Informaion

First Name

Please provide the name you prefer to be called.

Last Name

Birth Date

Month

Day

Year

Sex

MaleFemaleOther

Other

Personal Email

Home Phone Number

Cell Phone Number

Street Address

Address Line 2

Country

State/Provence

City

Postal/Zip Code

Please attach a recent photo of yourself facing the camera

Please elaborate

Family Information

Parent or Legal Guardian 1

First Name

Last Name

Relationship to Applicant

MotherFatherOther

Please expand

Maiden Name

Email

Cell Phone

Occupation

Parent or Legal Guardian 2

First Name

Last Name

Relationship to Applicant

MotherFatherOther

Please expand

Maiden Name

Email

Cell Phone

Occupation

Educational Background

High School Education

High School Name

Country

State/Province

City

Do you know where you will attend college/university after Hevruta?

YesNo

Please share the name of the institution.

Hebrew and Religious Education

Please rate your Hebrew skills.

Have you attended Jewish Day School or Sunday School? Check all that apply.

Yes, Jewish Day School (full time)Yes, Sunday School (part time)No

At which Day School(s) and for which grade(s)?

At which Sunday School(s) and for which grade(s)?

Have you participated in summer camp?

YesNo

Please add the name of the camp and the years which you attended

Does your family belong to a synagogue or congregation?

YesNo

Please share the name and location of the synagogue or congregation.

Please describe the activities in which you were involved.

Extracurricular Activities

Please describe any relevant leadership positions or training experiences in which you participated in high school. (100 word maximum)

Have you participated in an ongoing volunteer experience? Please share the nature of the work and its impact on your life. (100-word maximum)

Have you participated in organized Jewish youth activities such as a Jewish youth movement, Jewish travel program, or other Jewish summer experiences? If so, please name and describe the program(s). (100-word maximum)

Please share what you like doing in your spare time. This could be hobbies, interests and other. (100-word maximum)

Thank you for completing Part I of the Hevruta application.
You will receive an email with a link to Part II. In Part II you will be asked to answer a few more questions as well as upload a short video about your life.
You will also be asked to pay a $100 non-refundable application fee.

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