MILI Application Form Cohort 1

Salam alaykum.

Thank you for applying to join the Morocco- Israel Leadership Initiative, or MILI. This application form is designed to gauge your interest in and suitability for the upcoming 2023 MILI Cohort 1.

You will be able to save and re-edit the form before submitting.

If you have questions, please reach out to Mustapha or Tal

Personal Details

First Name

Last Name

Gender

Phone

Address Line 1

Address Line 2

City

Country

Postal/Zip Code

Professional Details

Professional Title:

Organizational Affiliation:

Educational Details

Highest Education Attained

School

Program

Enrollment Date (MM/DD?YYYY)

Graduation Date

Please write a biographical sketch of yourself in the third person (150 words)

How did you hear about MILI? (75 words)

Please upload an up-to-date headshot photo.

Please upload an up-to-date version of your c.v.

Have you previously traveled to to Israel?

Yes.No.

Please describe when you traveled there and the nature of the trip.

Are there any restrictions on your ability to travel to Israel? If yes, briefly explain.

Before submitting, please review your application as once you submit it, you will not be able to make any changes. Once submitted, you will receive a confirmation email from the @shalomhartman.org domain, with a copy of your application. All automated communication will come from the @shalomhartman.org domain. Please be sure that your server will accept this email address and not send it to your spam or junk mail folder. Otherwise, be sure to check your spam or junk mail for automated emails from the Shalom Hartman Institute.

To submit your application to the Marocco -Israel Leadership Initiative, check the box below and click “Submit.”

Contact Information