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Lakewood Shabbaton - Experience the Shabbat of your lifetime!
Spaces are limited for this exciting weekend! In past years we have been forced to close off registration due to high demand, so make sure to register while there are still spaces open!

JLE. J-Internship and Mentors Mission alumni will be given priority in registration, but all university students & recent graduates are welcome to apply. All applications must be received before Thursday October 11, 2018 @ midnight PST.

General Information
First Name *
Your answer
Last Name *
Your answer
Date of Birth *
dd-mm-yy
Your answer
How did you hear about the program? *
Please list the person that referred you: *
Your answer
If you know other students on the program and would like to share a room with them, please list them here. *
Your answer
Contact Information
Address *
Your answer
Address 2
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
email *
Your answer
Cell *
Your answer
Educational Information
What university do you attend, or have most recently attended? *
Your answer
Did you graduate from university? *
What is your area of study/current profession? *
Your answer
Jewish Background
In a couple of sentences, describe the Jewish education you received from childhood until today. *
Your answer
Have you been to Israel before? *
Your answer
Special Requirements
Do you currently have, or did you in the past have any special health needs that we should be aware of? *
Please describe if applicable, otherwise: write "none"
Your answer
Are you currently taking any medication or receiving psychological counseling? *
Please describe if applicable, otherwise: write "none"
Your answer
Personal Statement
Describe why you are interested in attending the Lakewood Shabbaton. Please 2-3 sentences. *
Your answer
Thank you for taking the time to complete this application.
Make sure you click the submit button below!!!
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