Eco-Israel Application Form
About the Eco Israel Program at Hava ve Adam Eco-farm:
Eco-Israel is a 5-month residential working/learning program in an Ecological Education Centre and Organic Farm in central Israel. Participants experience first-hand what it is like to live sustainably by growing their own food, getting closer to nature, working with the land and being part of a community.

Participants will learn to gain a different perspective on life and themselves through different workshops in agriculture, herbal medicine, mud-building, living in community, trips around Israel and more. You will also be eligible to receive a certificate in Permaculture Design Course upon completion of the program.
Email *
Full name: *
Country: *
Gender: *
Date of Birth *
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Phone number, including the net number of your country: *
(+1 for USA, +31 for The Netherlands, +972 for Israel, etc.)
Passport Number:
I want to apply for the Eco-Israel program of: *
1. What attracted you to Eco Israel program? What are your expectations for it? *
2. What is your connection to Israel and what is your relationship to Judaism? Please discuss your previous experience with Israeli culture, the Hebrew language and Jewish identity if any. *
3. What interests you about working on an Ecological Farm? Do you have any previous experience? Tell us if so, and/or your relationship with nature in general. *
4. Have you had any experiences living in an intentional community (other than your family)? Share with us your past experiences - what you have learned as well as what difficulties you encountered - and what interests you in joining the Eco-Israel community. *
5. List any skills, hobbies, or special interests, as well as anything else you would like to share with us about yourself. *
Emergency Contact and Health Information
You must have health insurance to participate in Eco-Israel. While it might be possible to add an international/travel rider to an existing health insurance policy, it is often much easier to simply get a separate insurance plan for your time in Israel.

We recommend Harel-Yedidim (or another Israeli insurance plan) because they do not require you to pay up front and then get reimbursed by the health insurance provider. Have a look at http://www.yedidim-health.co.il. and click on Student plans.

Regardless of which insurance plan you decide to use, you must send us a copy of your policy BEFORE YOU ARRIVE AT THE FARM. Please contact the health insurance company directly with any questions about their policies.
6. Emergency Contact Name: *
7. Emergency Contact Phone Number: *
Include the country code in the phone number please.
8. Emergency Contact Email Address: *
9. Relationship of Emergency Contact to you: *
10. If you also have an Emergency Contact Person in Israel, please write down their name, phone number, email address and their relationship to you below.
11. Bring a Friend Discount! You will both get a $250 discount on the cost of the program (for every person that you recruit). Do you have a friend that might be interested in doing the Eco-Israel program as well? Please write their contact below!
Apply for the MASA Grant!
The total cost of the program is 6,900 USD. If you are eligeble, please go to http://masaisrael.org/grants/apply to apply for the MASA Grant on their website. There are amazing scholarships available!
Eco-Israel ♦ Hava & Adam Eco-Educational Farm ♦ P.O. Box 1662, Reut 71799 ISRAEL Telephone in Israel: +972-8-622-5779 ecoisrael.co.il
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