2025 SUMMER INSTITUTE MIDDLE EAST PARTICIPANT APPLICATION:

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Thank you for considering to apply to JPB this summer! Below is our application form for all youth participants from the Middle East. Please complete this form in English, to the best of your ability, and without error to ensure full consideration. We look forward to reviewing your application!

"Raising up a new generation of leaders and peacebuilders"

General Information:

Applicant's First Name: *

Applicant's Last Name: *

Applicant's Email: *

Applicant's Phone: *

Current Age: *

Date of Birth: *

YYYY

Gender: *

Religious Background: *

How do you and your family practice your religious tradition (please specify)? *

Family Information:

Parents' First Name: *

Parents' Last Name: *

Parents' Email: *

Parents' Phone: *

What languages do your parent(s) speak? *

Additional Background Information:

How did you learn about JPB (i.e. a former participant, school, internet, MUN, etc.)? *

Have you ever applied to JPB before? *

Yes

If yes, what year did you apply or attend?

What languages do you speak? *

Please specify if you have any dietary needs (Kosher, Halal, vegetarian, gluten-free, or food allergies)? Note that JPB cannot accommodate strict Kosher or Halal food needs. *

Have you ever received mental health counseling or psychiatric services? If so, please explain. *

Travel Information:

Home Address (include post office box number): *

City/Town/Village: *

Name (in English) exactly as it appears on your passport: *

Nationality of Passport or Travel Document: *

ID Number of Passport or Travel Document: *

Passport Date of Expiration (must be valid 6 months after the program concludes, through March 1, 2026): *

YYYY

Do you have a second passport? *

Yes

If yes, what nationality is your second passport?

Do you have a valid US Visa through August 31, 2025? *

Yes

Have you ever traveled abroad without your parents? If yes, how long were the trip(s) and where did you go? *

Yes

Educational Information:

What is the name of your school? *

Where is your school located? *

Current grade in school: *

9th grade

10th grade

11th grade

12th grade

Other:

Area of study or interest? *

What community or extracurricular activities are you involved in? (School Clubs, Model UN, Sports, Arts, Volunteering, After school programs, etc.): *

Personal Reference:

Please provide a reference who is not a member of your family and not a fellow student at school. This person can be a mentor, teacher, employer, faith leader, etc. This is someone who you think would recommend you for this program.

Reference's Name (first, last): *

Reference's Phone Number (Whatsapp): *

Reference's Email Address: *

Reference's relationship to you? *

Essay Section:

Please answer each essay question carefully and completely. Each essay must be 500 characters (150 words). While answering, please be aware that Jerusalem Peacebuilders aims to create a diverse summer program. We seek a balance of perspectives, so please be truthful and complete in your answers.

It is possible to lose your writing on this page if you take a long time. We STRONGLY RECOMMEND that you draft your essays in a program like Microsoft Word or Google Docs and then paste them in here to avoid any risk of losing your hard work.

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