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Contact Us
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Online Application Form
First Name
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Last Name
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Gender
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Male
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Address Line 1
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Country
Phone (Include Country Code)
Email
*
Nationality
*
Albanian
American
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Tunisian
Tuvaluan
Ukrainian
Uruguayan
Uzbekistani
Welsh
** 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
*
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?
Yes
No
Emergency Contact Information
1) First Name
Last Name
Phone (Include Country Code)
Relationship to yourself
Mother
Father
Daughter
Son
Sister
Brother
Aunt
Uncle
Niece
Nephew
Cousin(female)
Cousin(male)
Grandmother
Grandfather
Granddaugther
Grandson
Stepsister
Stepbrother
Stepmother
2) First Name
Last Name
Phone (Include Country Code)
Relationship to yourself
Mother
Father
Daughter
Son
Sister
Brother
Aunt
Uncle
Niece
Nephew
Cousin(female)
Cousin(male)
Grandmother
Grandfather
Granddaugther
Grandson
Stepsister
Stepbrother
Stepmother
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
*
Mother
Father
Daughter
Son
Sister
Brother
Aunt
Uncle
Niece
Nephew
Cousin(female)
Cousin(male)
Grandmother
Grandfather
Granddaugther
Grandson
Stepsister
Stepbrother
Stepmother
Second Reference
2) First name
*
Last name
*
Email
*
Relationship to yourself
*
Mother
Father
Daughter
Son
Sister
Brother
Aunt
Uncle
Niece
Nephew
Cousin(female)
Cousin(male)
Grandmother
Grandfather
Granddaugther
Grandson
Stepsister
Stepbrother
Stepmother
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
Email
Submit