HaLev Subsidy Application (Only First Timers are eligible!)
Email address *
First Name *
Your answer
Last Name
Your answer
Age *
Your answer
Phone Number *
Your answer
Current City *
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Current Occupation *
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Have you been to Policy Conference Before? (this is for first timers only!) *
If yes how many times?
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Tell me about your connection to Israel & the Jewish People (few sentences)? *
Your answer
Why do you want to attend PC this year? (again, keep it short) *
Your answer
How did you hear about HaLev? (If referred, by who?) *
Your answer
Best Time to call
Link to Facebook profile
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