Birthright Israel: Shorashim Staffing Interest Form – Winter 19-20
If you are interested in staffing in Winter (Dec 2019 to Feb 2020), please put your info down here and we will be sure to reach out to you when the staffing applications open!

Please note, filling out this application does not guarantee a staffing position on a Birthright Israel: Shorashim experience.

Email address *
What's your first name? *
Your answer
What's your last name? *
Your answer
What's your phone number? *
Your answer
When are you available to staff – check all that apply. *
How old will you be by December 1, 2019 *
Where do you live (City, State)? *
Your answer
Summer 2019 registration is now open! Who do you know who wants to take advantage of their Birthright Israel experience? Put their name(s), phone number(s), email(s), and any other relevant info down so we can help get them set up on a trip. *
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