Yachad Student Trip 2017 Application Form
Thank you for showing interest in the Yachad Student Trip! Demand is always very high with our trip and we want to make sure we have the right blend of people, so we ask you to fill out this short application form.

In this first part, we ask some quick questions so we understand who you are & where you're coming from.
In the second part, we want to know a little more about you and what you are hoping to get from the Yachad Student Trip.

This trip is open to students from across the Jewish community and we strive to meet the needs of each participant.

Name
Your answer
Email Address
Your answer
Phone Number
Your answer
Which university are you at/due to attend?
Your answer
What course do you study?
Your answer
Will you be a student in September 2017?
Are you part of a youth movement?
If yes, which youth movement?
Your answer
Are you a member of a Synagogue?
If yes, which synagogue?
Your answer
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