Application Form

Applications may be filed electronically. Please fill in the form below and click submit when done.

Name: *
Family name: *

Address: *

P.O.Box Postal Code City State/Province Country Street address (Postal Code )

Phone number	- -
Mobile number
Fax number	- -
Email address: *
Date of birth: *	Citizenship: *
Country of residence: *	Passport number: *

Do you require a visa for Israel ?

Yes No

Denominational Affiliation: *

Academic record and degrees, other courses taken, name of educational institution, year, and area of subject concentration: *

Religious and Academic titles:

Are you applying for academic credit? Yes No

If you are from a third world country, are you applying for a tuition scholarship? Yes No If so, please let us know how you plan to finance your accommodation while in Israel

Present Work *, and a brief history of your employment during the last four years. Describe any involvement in volunteer and church activities outside your normal work.

Indicate any background you have in Jewish Studies, Hebrew language, Hebrew Scriptures, related experiences that may enhance your participation in this course.

Previous visits to Israel, dates and purpose: *

How did you learn about Bat Kol: *

Date of Application: