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To
apply for Yavneh's Summer 2003 programs, please fill out the
application form below, and press the "Submit" button at the
bottom of the page.
In order for us to process your application, please send us the
following as soon as possible: a $25 check payable
to Yavneh Olami (non-refundable registration fee),
two copies of your resume, two
passport photos and three letters
of recommendation (one academic, one personal and one from
a recent employer).
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Name
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E-mail
Address
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Home
Address |
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1 |
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2 |
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Line
3 |
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Country |
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Home
Phone
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(incl. country, area codes)
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Cell
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(incl. country, area codes)
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Fax |
(incl. country, area codes) |
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Age
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Date
of Birth
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Israeli
Citizenship? |
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Passport |
Nationality |
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Number |
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High
School |
Class of |
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College |
Class of |
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College
Major |
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Alternate
Address
(i.e.,
dorm) |
Line
1 |
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Line
2 |
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Line
3 |
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Country |
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Alternate
Phone |
(incl. country, area codes) |
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Which
program would you like to attend? |
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Hebrew
Fluency |
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Is
your Hebrew level sufficient for work in a Hebrew-speaking environment? |
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Placement
Request
Please
provide details of interest within each field |
1st
Choice |
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2nd |
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3rd |
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Experience
Please
provide details of any prior experience
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When
do you plan on being in Israel? |
From |
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To |
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Relatives
or friends with whom you'd likely spend time during your visit |
Name |
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Place
of Residence |
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Phone
Number |
(incl. area code) |
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Relationship |
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Previous
trips to Israel
Please
specify program name/s, dates, position/s held, etc. |
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Are
you planning on using our accommodations? |
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How
did you hear about our programs?
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Anything
you'd like to add?
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Please
ensure that you have filled out the application to the best of your
ability and that all information is correct. Thank you. |
