AnyQueer in Host Israel Application Form

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Please fill out this form if you are interested in hosting sleeping arrangements/meals for queer gap-year students.

Please note that we are looking for shomer shabbat and shomer kashrut households.

Email *

What is your name? (first and last) *

You are welcome to share your pronouns if you are comfortable doing so

How old are you? *

Where are you at in life? *

(in school, job, etc)

Do you identify as part of the queer community or an ally? *

Where in Israel do you live? *

Is your household shomer shabbat? *

Is your household shomer kashrut? Please specify the level of kashrut your household keeps for meat and dairy *

What is your living situation? *

Please note that anyone living in your household must also agree/sign the "AnyQueer in Israel" host rules (posted below)

I live alone

I live with roomates

I live with a partner

Other:

Please share with us your hosting capabilities *

Please note that if you indicate the ability to host BOTH sleeping arrangements and meals, you are not expected to do for every single shabbat that a student reaches out to you. This question is merely to gauge your hosting capabilities.

I can host sleeping arrangements ONLY

I can host meals ONLY

I can host BOTH sleeping arrangements and meals

Other:

Overnight guests should be provided sleeping arrangements that offer full privacy. Guests may not sleep in the same room as hosts. Are you able to provide this? *

Yes

Other:

How many guests can you comfortably accommodate for meals and for sleeping? (please note, you must host at least two) *

Do you have any COVID requests?

Please look over the rules that you and anyone else in your household must sign before becoming a host.