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EcoExperience Registration Form

Registration takes about 10 minutes to complete.

• All studies are in English although Hebrew is the common language used day to day on the kibbutz.
• Notifications of acceptance will be made on a rolling basis according to space availability, generally within 2 weeks of the receipt of an application.
• Accommodations may be shared.
• It is possible to extend per day after a minimum of 1 week.
• 4 night minimum stay $260, $65 USD for each additional night

• Tasks are varied and can include strenuous work in the Arava desert's extreme weather.


To register, please complete and sign this form.

Please feel free to contact us with any questions you may have with regards to the EcoExperience at Kibbutz Lotan.

info@klotan.co.il

Center for Creative Ecology
Kibbutz Lotan
Hevel Eilot
885500 Israel

EcoExperience Registration Form

(Please type directly on the form. Use the tab key to move between fields. Check boxes by clicking with the mouse.)

First Name
Your answer
Last Name
Your answer
Date of Birth
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Gender
Passport Number / ID
Your answer
Nationality
Your answer
Requested Arrival Date
Please note the EcoExperience starts every Sunday. You may request any dates you choose throughout the year (with the exception of the Jewish holiday periods of Pesach, Rosh HaShana and Succot), but acceptance is dependent on available space. We will confirm your booking by email. Minimum stay is one week, it is possible to stay for longer.
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Requested Departure Date
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Email Address
Your answer
Home Address
Your answer
Phone
Your answer
Please tell us about any relevant past experiences you have had.
Your answer
Please tell us what you are hoping to gain from your time at the Center for Creative Ecology.
Your answer
How did you hear about us?
I declare that the details I have given in this form are all true. I am aware of the following Lotan norms and arrangements: 1. Possession of illegal drugs or participation in other illegal activity according to the laws of the State of Israel will result in being turned over to the police and being asked to leave the kibbutz. 2. Excessive use of alcohol may be grounds for dismissal from the program. 3. Participants may not keep pets. 4. NO SMOKING is allowed in rooms or in any undesignated area. 5. Participants may not remove furniture from their rooms, nor may they make structural changes, paint on walls etc. 6. Participants may invite guests only with permission. They will be charged for their guests' meals. 7. Participants are expected to participate in all educational activities organized on their behalf.
E-Signature
Your answer
Date
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