Hevruta Gap Year Application - Cohort 14, 2027-2028

Thank you for your interest in the Shalom Hartman Institute's Hevruta Gap Year Program! We are excited to get to know you. If you have any questions during your application process, please send us an email at office.hevruta@shi.org.il.

Please be advised that this form has several parts. You are asked to provide demographic information, answer several short answer questions, and to submit a photo, video, and contact information for your recommendation.

There is a non-refundable $100 deposit to apply, and you must complete all parts of the form in order to be interviewed for the program.

You can save at any point and complete the form later.

Applications will be reviewed on a rolling basis

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. We look forward to getting to know you!

Personal Information

First Name

Last Name

Please specify your birthdate (MM/DD/YYYY):

Gender Identity:

Pronouns

Gender Identity:

Pronouns:

Personal Email Address:

Mobile Phone Number:

Mailing Address

Country

City

State

Provinces

Postal Code

Geographic Region

Educational Information

Please select your school from the list below.

If you are home schooled, please select the "Homeschooled" option.
If you do not see your school on this list, please select the option "I don't see my school on this list," and check the box below.

High School Name:

School Account ID

I don't see my school on the list.

School Information

Name of School:

Country

Mailing Address

City

State

Province

State/Province

Postal Code

Geographic Region

Hebrew and Jewish Education

Please rate your Hebrew language skills:

Have you attended Jewish day school?

I am currently enrolled in a Jewish day school.I have attended Jewish day school in the past.I have not attended Jewish day school.

Previous Jewish Day School

Name of School
If you do not see your School on this list, leave this field blank and check the "School Not Listed" box below.

School Not Listed

Name of School (Please type.)

Grades Attended:

Previous Jewish Day School ID

Do you currently attend, or have you previously attended religious/Hebrew/congregational school?

YesNo

Current or previous religious/Hebrew/congregational School

Name of School/Synagogue:

Grades Attended:

Have you ever attended a Jewish Summer Camp?

YesNo

Current or Previous Jewish Summer Camp

Name of Camp
If you do not see your Camp on this list, leave this field blank and check the "Camp Not Listed" box below.

Camp Not Listed

Name of Camp (Please type.)

Grades Attended:

Current or Previous Camp ID

Does your family belong to a synagogue or congregation?

YesNo

Synagogue or Congregation Information

Name of Synagogue
If you do not see your Synagogue on this list, leave this field blank and check the "Synagogue Not Listed" box below.

Synagogue Not Listed

Name of Synagogue (Please type.)

Grades Attended:

Synagogue or Congregation ID

Extracurricular Activities

Please describe any relevant leadership positions you have held while in high school. (100 word maximum)

Please describe any relevant volunteer experiences you participated in during high school. (100-word maximum)

Hevruta is looking for students who are 1) deeply engaged in Jewish life, 2) who have questions about the Jewish world and are committed to exploring those questions and 3) who thrive in community and academic settings.

Which of these 3 elements do you feel is currently your strongest and how does it appear in your life? Which of the 3 elements are you looking to further develop and why? (250-word maximum)

Personal Viewpoints

Please respond to the questions below in no more than 500 words each.

At the Hartman Institute we value pluralism and diversity of opinion—there are no right or wrong answers to these questions, rather our goal is to understand your relationship to Israel as you apply.

Describe your relationship with Israel: When has that relationship been most meaningful and when has it been most challenging?

Where do you see hope for the Jewish future? What part do you imagine yourself playing? Over the past few years, how has the Jewish community inspired you?

If accepted, what do you hope to gain from participating in Hevruta — and how do you see that manifesting in your life as a Jewish leader in college and beyond?

Reference

Reference - High School Teacher, Rabbi, Educator, etc.

Please share information of a person you would like us to contact on your behalf, who is able to speak to your eligibility for the program. Examples of recommenders can be: a high school teacher, rabbi, Jewish educator, camp director, or someone else who knows you well, not including family members.

Title

First Name

Last Name

Other Title

Recommender's Email

Photo

Please upload a photo of yourself facing the camera.

Introduction Video

To help us get to know you, please click the link below to upload a short video describing a day in your life.

Link to upload video

The goal of this video is to help us get to know you and give you a taste of Hartman ideas -- not to make you stressed!

- The video should be no longer than 60 seconds.
- Please do not use professional equipment and keep editing to a minimum.
- This isn't for a grade and you don't have to sound formal - just talk like yourself!

I confirm that I have submitted my application video using the link above.

Payment Information

There is a $100, non-refundable, application fee. Your credit card information will not be saved/stored. Credit card will be charged by "Stripe"

Card Number

Name on Card

Cardholder's Email Address

MM

YY

CVV

This form may take take a few minutes to process. Please be patient and stay on the page until you see the confirmation that the form submission has been completed.

Salesforce IDs for participation records

Program ID - Insert Program ID here as DEFAULT VALUE

	None	Some	Very Good	Fluent
Proficiency in READING
Proficiency in WRITING
Proficiency in SPEAKING

Reform	Conservative	Orthodox
Reconstructionist	Renewal	Traditional
Secular	Non-denominational	Just Jewish
Other

High School Teacher	High School Principal	Guidance Counselor
Other Educator	Rabbi or Clergy Member	Other