MJE 20s & 30s Heritage Trip to Israel - Summer 2019
Departing Saturday night July 27th – Leaving Israel August 4th, 2019

**THIS IS AN APPLICATION PENDING APPROVAL, NOT A TICKET**

First Name *
Your answer
Last Name *
Your answer
Cell Phone *
Your answer
Email *
Your answer
Living Address (Address, Apartment, City, State, Zip Code) *
Your answer
Passport Number *
Your answer
Expiration Date on Passport *
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Have you been to Israel before? *
If you have been to Israel, when did you go and for what purpose?
Your answer
Did you go on an organized tour of Israel?
If anyone, who would you like to room with on the trip?
Your answer
Will you be traveling to and from Israel with MJE?
The cost of the trip is $3600. If you are requesting a payment plan, which plan would you like to sign up for? Please note, this is not a guarantee that we will accept the payment plan and will be discussed in your interview with an MJE Director.
Would you like to apply for sponsorship (stipend) to help pay for your trip? (granted with additional application, interview and need). *
What is your Facebook name?(Many trip updates +announcements + groups will be done on Facebook) *
Your answer
Gender *
Age (MJE is for 20's & 30's only *please be honest, this is private) * *
Your answer
What is your date of birth? *
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Profession / Field of Study *
Your answer
What state do you currently reside in? *
Your answer
How do you describe your Jewish affiliation? *
Your answer
What is your Jewish educational background? *
Please let us know in a few lines a little about your background, yourself and what most interests you in the MJE Heritage Trip to Israel! Is it outdoor activities? Experiencing Shabbat? Meeting new peeps? Inspiring speakers and spirituality? * *
Your answer
Who was most influential in encouraging you to apply for this trip? *
Your answer
Did your friend recommend the retreat to you? If so tell us her or his name! *
Your answer
How'd you hear about the trip? *
Your answer
Do you have any dietary restrictions? *
By signing below, you agree that you have read and accept the following terms: 1. Deposit fee is $500.00 (part of the $3600.00 total) 2. Cancellations of any reason received on month or less prior to departure is subject to a cancellation fee equivalent to the full package amount. 3. Stipends vary but will not exceed $1800.00 and are dependent upon the completion of a 3 month study course approved by an MJE Rabbi or Educator. *
Your answer
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