J-CARE Israel Application 2021
Please answer the following questions as best you can. All information will remain confidential. Please answer honestly, so that we can get a good picture of you and the unique experiences and skills you bring to the program.
If you have any questions about filling out the form, please contact us at
chanagrove@gmail.com
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Email address
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Your email
What’s your name?
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Your answer
What's your cell #?
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Your answer
What’s your date of birth?
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MM
/
DD
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YYYY
What's your address?
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Your answer
What's your marital status?
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Single
Married
Other
What are your hobbies? (Art & Crafts, Musical Instruments, Sports, etc.)
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Your answer
What's your current occupation?
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Your answer
Where did you go to H.S./College/Graduate School and when did you graduate?
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Your answer
Please list any prior volunteer experience:
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Your answer
Do you speak any languages other than English? If yes, please list the languages.
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Your answer
Would you be interested in tutoring or giving lessons? What subjects/instruments etc.?
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Your answer
How engaged are you in the Jewish community at the moment?
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Very involved
Somewhat involved
Minimally involved
Other
Describe your previous Jewish educational experiences (Hebrew School etc.), if applicable
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Your answer
Synagogue affiliation (you or your family), if any
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Your answer
Please describe your Jewish ancestry.
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Both parents born Jewish
Mother born Jewish
Father born Jewish
Mother converted
Father converted
I converted
Adopted
Please tell us why you are interested in this opportunity and what you feel you will bring to the program.
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Your answer
Please provide us with a personal reference that knows you well. Be sure to include contact information for that person.
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Your answer
Are you interested in traveling to Israel with us at the end of June to July 4th?
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Yes
No
Maybe
How did you find out about the J-Care program?
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Your answer
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