Applicant Form – Volunteer Israel

First Name

Last Name

Date of Birth

Gender

Male Female

Address Line

City

State / Province / Region

Postal Code

Country

Phone (Include Country Code)

Nationality

** If you can't find your nationality, it's due to issues between Israel and your country at this time. Therefore, your application cannot be processed. Once they have been resolved, Volunteer Israel will be in touch with you again.

Passport Number

Medical Condition

Criminal Records

Emergency Contact Information

First Name

Last Name

Phone (Include Country Code)

Relationship to yourself

First Name

Last Name

Phone (Include Country Code)

Relationship to yourself

Education

I have graduated from High School

High School

Yes No

University or College

Major field of study

Volunteer Assignment

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

from_date

until_date

Requested Field of Volunteer Assignment

Field Choice

Field Choice 2

Requested Area of Israel for Volunteer Assignment

First Volunteer Area

Second Volunteer Area

Languages

Skills or Hobbies

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

Medical Experience Question

Yes No

Explain:

Medical Background

Previous Employment or Volunteer Experience

Have you had any previous employment or volunteer experience?

EV Experience Question

Yes No

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

EV Previous Details

Name and contact information of employer or volunteer coordinator:

Volunteer Coordinator Details

References

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

First Reference

RF_1

RL_1

R_Email

Relationship to yourself

Second Reference

RF_2

RL_2

R_Email

Relationship to yourself

Pick up visa from the Israel Embassy/Consulate

Please include city and country:

Pick up visa

Additional Information

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

Additional Info

Basic Application Fees

$100 Processing Fee on receiving application
$250 Balance payable on receipt of B4 visa
$50 Additional charge if documents are not submitted together or are incorrect

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 and the Basic Application Fees