Green Apprenticeship Application
Please note: Application takes on average 10 - 20 minutes to complete.

• All courses are in English unless otherwise indicated. Hebrew is the common language used day to day on the kibbutz.
• Notifications of acceptance will be made on a rolling basis, generally within 2 weeks of the receipt of an application.
• Accommodations are shared (2-3 students to a dome). Couples will be able to share a dome.
• Our ability to offer financial aid is limited.

* Staff of Center for Creative Ecology may request an interview.

To apply, please send us the following via email:
1. Complete and sign this form
2. A photocopy of the first page of your passport/ id card (including your picture).
3. C.V. / resume showing where you have studied, worked etc.
4. One recommendation letter from an employer, teacher, or mentor.
5. A letter or certificate from your doctor stating that you are physically and mentally fit to work and study on kibbutz: in an intensive community setting and a harsh desert climate doing work that is physically strenuous at times.

On notification of acceptance to the program, all participants are required to pay a deposit of US$300 in order to ensure their place. The deposit is non-refundable in the event of cancellation prior to the commencement of the program. Remaining fees are payable on arrival to Lotan.

Please feel free to contact us with any questions you may have with regards to the course or kibbutz in general.

Please email all required documents to: admissions@klotan.co.il

Center for Creative Ecology
Kibbutz Lotan
Hevel Eilot
8885500 Israel

Green Apprenticeship Application Form

(Please type directly on the form. Use the tab key to move between fields. Check boxes by clicking with the mouse.)

First Name
Your answer
Last Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Gender
For purpose of room assignments
Permanent Home Address
Your answer
Home Telephone
Your answer
Mobile Phone
Your answer
Email
Your answer
Passport Number / Israeli ID
Your answer
Country of Origin
Your answer
Date of expected arrival to Israel
Your answer
Date of expected departure from Israel
Your answer
Select which Green Apprenticeship course you are applying for
All courses are in English unless otherwise stated
Emergency Contact Information
Telephone Contact
Your answer
Higher education
Please provide name of university/ college, degree (BA, MA etc), field of study and date of graduation
Your answer
Have you previously participated in a permaculture design course?
If yes, where and when? Who were the facilitators?
Your answer
Any other relevant courses you have participated in?
Please give details
Your answer
Have you previously visited Israel? If yes, where and when?
Your answer
Work experience
Your answer
Do you have any previous experience with group work? Please give details.
Your answer
Religious and congregational affiliation
Your answer
Youth movement experience -- which and at what age
Your answer
Hobbies, interests, skills
Your answer
How did you hear about the Green Apprenticeship?
Please give details -- for example, if you know someone who did the course, tell us who it was. If it was an online search, what were the search terms you used.
Your answer
What do you imagine might be your greatest challenge during the program?
Your answer
What attracts you to this course?
Your answer
What would you like to receive or learn from this course?
Your answer
What skills or attributes will you bring with you to share?
Your answer
Please indicate the appropriate assessment (in your opinion) of your present health
Do you suffer from any major health problems?
Please provide as much detail as you can
Your answer
Do you have any physical and/or emotional limitations we should know about? If yes, please explain.
Your answer
Are you taking any medications on a regular basis?
Your answer
Have you ever been hospitalized?
Please give details
Your answer
Declaration of Health Status
I hereby declare that I have suffered, or presently suffer from, the following conditions:
Required
If you checked any of the boxes above, please give details
Your answer
When was the last time you were examined by a licensed physician for the above named conditions?
Your answer
Declaration of Health Status
1. I agree to disclose to the doctors and to any medical caregiver who shall examine me, full and correct information concerning every illness and defective condition that I have experienced in the past, and that I do not suffer from said illnesses today, and that I am not concealing information. 2. I hereby waive my right of medical confidentiality to Kibbutz Lotan, concerning any illness or condition that I suffered in the past, or that I suffer from today. I hereby agree that any physician or medical institution that shall treat me, will disclose full information regarding the above, and shall not lodge any complaint or suit of any kind to a health fund or its employees involved in forwarding the above-mentioned facts, or conclusions based on them. E-signature:
Your answer
Diet
Please note: Vegetarian diets are always available, but we cannot guarantee VEGAN diets. No meat or fish allowed in the eco-campus field kitchen (although available in the kibbutz dining room).
I declare that the details I have given in this form are all true. I am aware of the following Lotan norms and arrangements: 1. Possession of illegal drugs or participation in other illegal activity according to the laws of the State of Israel will result in being turned over to the police and being asked to leave the kibbutz. 2. Excessive use of alcohol may be grounds for dismissal from the program. 3. Green Apprentices may not keep pets. 4. NO SMOKING in rooms or in any undesignated area. 5. Green Apprentices may not remove furniture from their rooms, nor may they make structural changes, paint on walls etc. 6. Green Apprentices may invite guests only with permission. Green Apprentices will be charged for their guests' meals. 7. Participants agree to abide by the eco-campus' field kitchen conditions: kosher dairy, no meat, no fish. 8. Green Apprentices are expected to participate in all educational activities organized on their behalf.
E-Signature
Your answer
Cancellation and Refund Policy Agreement I, the undersigned, agree to the following: 1. If I cancel my participation before the start of the program, the deposit of $300 will not be refunded. 2. If I decide to leave the program within two weeks of the program start date, 25% of the course fee less any additional costs incurred will be refunded. 3. If I decide to leave after the first two weeks of the program, I am not entitled to any refund. 4. If I am asked to leave the program by the organizers for whatever reason, I am not entitled to any refund.
E-Signature
Your answer
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