AnyQueer in Israel Host Application Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

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.