Online Application Form - Volunteer Israel

First Name *

Last Name *

Date of Birth *

Gender *

Male
Female

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone (Include Country Code)

Email *

Nationality *

Passport Number *

Do you have any medical condition that may affect you carrying out volunteer work? If yes, please describe:

Have you ever been convicted of any criminal offence in the past?

Emergency Contact Information

1) First Name

Last Name

Phone (Include Country Code)

Relationship to yourself

2) First Name

Last Name

Phone (Include Country Code)

Relationship to yourself

Education

I have graduated from High School

Yes
No

Name of University or College Attended

My major field of study was

Volunteer Assignment

Dates you are available for a volunteer assignment (three months minimum) *

At least three months minimum *

Requested Field of Volunteer Assignment

First Choice

Second Choice

Requested Area of Israel for Volunteer Assignment

First Choice

Second Choice

Languages you speak:

Acquired skills or hobbies that would be useful in your volunteer work

Do you have First Aid or paramedical experience that would be useful in your volunteer work?

Yes
No

Explain:

Previous Employment or Volunteer Experience

Have you had any previous employment or volunteer experience?

Yes
No

If yes, please give details of where, in which fields and dates of employment and/or volunteer service:

Name and contact information of employer or volunteer coordinator:

References

Please provide the names and contact information of two people (not relatives) who can attest to your character and abilities:

First Reference

1) First name *

Last name *

Email *

Relationship to yourself *

Second Reference

2) First name *

Last name *

Email *

Relationship to yourself *

Additional Information

Please include any additional information you think might be relevant to your being accepted for a volunteer assignment:

Optional Additional Services

$50 | Pick up volunteer from airport and be available to take them to bus/train/taxi pick-up point (excepting Shabbat and Jewish Holidays) should the representative of the charitable association not be present as well
$50 | Arrange a meeting with the Foreign Volunteers representative at the Social Affairs Ministry to help find alternative placement if the first proves unsatisfactory and attend the meeting with you
$100 | Provide an organized tour twice a year of places of interest in Israel together with other Foreign Volunteers (includes entrance fees and guide’s fee)

Date of Completion of this Application:

Volunteer Placement Agreement *

I accept the Volunteer Placement Agreement