Application for Enrollment

PLEASE PRINT NEATLY

**REQUIRED: Please attach (paper clip) 4 passport photos at the top of this page.  Put your name on the reverse side of each picture.

 

Applicant’s Name (as written on passport) ___________________________________________

 

Name and dates of program you are registering for____________________________________

 

Date of Birth _________________                       Male ____ Female ____

 

Home Address ______________________________________ Telephone # ________________

 

City _______________State _______ ZIP _________

 

Parents info. if different from above _________________________________________________

 

PLEASE PRINT CLEARLY (SO THAT LETTERS AND NUMBERS ARE NOT CONFUSED)

 

Participant's E-mail:  ____________________________________________________________

 

Parents' E-mail:  _______________________________________________________________

 

A.      Travel and Camp Experience

1.       Have you ever been away from home (i.e. sleep over camp)? If yes, where?

 

 

2.       Have you traveled to Israel or Overseas? If yes, where, when and with whom?

 

B.      Education

1.       Name of School _______________________________ Present Grade __________

2.       Religious School: Day School_____ years; Sunday School _____; After School____

3.       Religious Preference:

____Orthodox                      ____Conservative           ____Reform

____Reconstructionist          ____Secular                  ____Other

 

C.      Youth Group Experience

1.Do you belong to any youth groups?  If yes, which ones and explain your involvement.

________________________________________________________________________

________________________________________________________________________

2.       List any overnight conventions, leadership training programs and Judaism programs you have attended. ____________________________________________________

 

D.   Kosher Food

All facilities used by Oranim in Israel are kosher.  However, we do not provide kosher food on all of our programs. All programs offer a vegetarian option. Please refer to the brochure for specific program information and indicate below which statement applies to you.

      ___ Kosher required at all facilities                      ___ Kosher observed wherever possible

      ___ No specific needs in regards to Kosher          ___ Vegetarian

      ___ Other – please explain: ________________________________________________

Name: ___________________

E.  Passport Information and Identification Photos

1.If you have a valid passport, please enter the passport number here.

         Country of Origin __________________ Passport Number ______________________

If you do not have a valid passport, you are strongly encouraged to make an application as quickly as possible and mail or phone the passport number to our office immediately.

Please send 2 copies of the first two pages of the participant’s passport.  This is also REQUIRED.

 

F.      Choosing Your Program

This is your opportunity to indicate your choice for your Oranim Israel and World Adventure.  Even if you may have already indicated a preference, you have this opportunity to reconsider, or firm up your choice.

 

Israel Discovery (23 Days): June 23 - July 14, 2008   Israel Discovery (23 Days): July 7 - 28, 2008   Classic Europe (13 Days): June 26 - July 8, 2008   Israel and Europe Ultimate Jewish Adventure (34 Days): June 26 - July 28, 2008

 

G.     Participation With Your Friends

Broadening your friendships to extend to youth from various cities in the US and Canada is one of the many advantages of your Oranim summer experience in Israel and Overseas.  Ask past participants and they nearly always encourage you to avoid grouping together with large numbers of old friends.  This will allow you to make new friends from all over North America. 

When Oranim develops its summer programs, there is a limit to the number of participants from one city.  For those who would like to request to travel with a friend or two, please indicate below.  Only two may request each other from one city.  Within our guidelines we try to honor these requests.

 

Guidelines:

 

I would like to travel with (limit two):

1.______________________________     from __________________________(city)

            2.______________________________     from __________________________(city)

 

H.      Emergency Contact

If parent(s) is not available in emergency, please notify:

 

Name _________________________________ Phone _____________________________

 

Relationship ________________________________________________________________