KIVUNIM Americas - Participant Registration
NOTICE: Registration will open for KIVUNIM Americas 2020 in the Fall of 2019. This form is a PREVIEW of the official application form.
Basic Information
This section is about the participant.
Last Name *
Your answer
First Name *
Your answer
Nickname
Your answer
Email address *
Your answer
Cell phone number *
Your answer
What is the best way to contact you? *
Address (1234 Street Name) *
Your answer
Address (City Name, STATE) *
Your answer
Address (ZIP Code) *
Your answer
Address (Country) *
Your answer
Citizenship/Residency Status *
Birthday *
MM
/
DD
/
YYYY
Name of high school *
Your answer
Current grade in high school *
Your answer
Gender
Your answer
Preferred pronouns
Your answer
Religious or cultural affiliation
Describe your association with Judaism (i.e. the sect or variety you identify with), any belief system, or none at all
Your answer
Dietary requirements *
Required
How did you learn about KIVUNIM Americas? *
Required
Passport Information
Your passport must be valid for at least 6 months from the day you return from this trip.
Name exactly how it appears on your passport *
Your answer
Passport number *
Your answer
Passport expiration date *
Your answer
Your Family
This section is about the participant's family.
Parent/Legal Guardian #1
Full Name *
Your answer
Email address *
Your answer
Home phone number *
Your answer
Cell phone number *
Your answer
What is the best way to contact you? *
Occupation
Your answer
Parent/Legal Guardian #2
Full Name *
Your answer
Email address *
Your answer
Home phone number *
Your answer
Cell phone number *
Your answer
What is the best way to contact you? *
Occupation
Your answer
Short Answer
This final section is for the participant.
Why do you want to travel with KIVUNIM Americas? *
In 150 words or less, please explain why you are interested in a unique, impactful travel experience with KIVUNIM Americas. What parts of the trip are you most excited by? (For example, getting to know Jewish communities in Latin America, taking in beautiful scenery and thought-provoking museums, experiencing new cultures, food, and languages, etc.)
Your answer
What skills or personal qualities would you bring to this group travel experience? *
Please answer in 150 words or less.
Your answer
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