** 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.

Emergency Contact Information
I have graduated from High School
Volunteer Assignment
* Dates you are available for a volunteer assignment (three months minimum)
Requested Field of Volunteer Assignment
Requested Area of Israel for Volunteer Assignment
Do you have First Aid or paramedical experience that would be useful in your volunteer work?
Previous Employment or Volunteer Experience
Have you had any previous employment or volunteer experience?
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:

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

First Reference
Second Reference
Pick up visa from the Israel Embassy/Consulate
Please include city and country:
Additional Information
Please include any additional information you think might be relevant to your being accepted for a volunteer assignment:
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
Date of Completion of this Application:

Volunteer Placement Agreement