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Y.E.S. Women’s Application Form

Application for YES Women’s Division – Summer-2013

May 19-June 9

Instructions:
All applications must be filled out completely. On completion, please submit this form (by clicking on the submit button at the bottom of the page), and send us two letters of recommendation and a digital photograph to our Israel office.

[Please read this first to ensure a successful application:
--The form might not work for older browsers, but you can print out the form, fill it in, and fax or mail it to the Darche Noam Israel office.
--If you want to cut and paste the form to a word processing program and send it to us as an attached file, please do not type the answers into the text boxes. It becomes difficult to process the application.
--It is probably a good idea to save your essay (question 22) separately before submitting.
--If your essay (question 22) is particularly long, send it separately as an e-mail; the online form takes only a limited number of characters.]

If you don’t want to apply online, you can also apply by:

  1. printing out an application form – WORD file | PDF file , filling it out, and and mailing it in to the Darche Noam office; or
  2. faxing one to us at US fax 516-908-6020 or Israel fax 972-2-652-0801;or
  3. sending it as an email attachment to yes@darchenoam.org
  1. Online Application
  2. 1. Applicant's Name:
  3. (required)
  4. (required)
  5. (required)
  8. 2. Current Address:
  9. (required)
  10. (required)
  11. (required)
  12. (required)
  13. (required)
  15. (required)
  16. 3. Permanent Address (if not as above):
  24. 4. Personal Information
  25. (required)
  26. (required)
  27. (required)
  28. (required)
  29. (required)
  30. 5. Personal Status
  31. (required)
  33. (required)
  35. (required)
  37. 6. Previous Programs
  40. 7. Jewish Affiliation
  43. 8. Parents
  44. (required)
  57. 9. Father’s Occupation
  60. 10. Mother’s Occupation
  63. Educational Background
  64. 11. Colleges or Universities Attended
  65. Please include school, location, dates, degree, major/minor
  66. School #1
  72. School #2
  78. School #3
  84. 12. Torah Education
  85. Please include school, location, dates, curriculum, proficiency
  86. School #1
  92. School #2
  98. School #3
  104. 13. My knowledge of Hebrew is:
  113. 18. Medical Information
  116. B. Are you presently undergoing treatment or taking medication for any illness or condition (physical or emotional) not described above?
  118. 19. Do you have any special dietary requirements?
  120. 20. Were you interviewed by a member of the Darche Noam staff?
  123. 21. Emergency contacts:
  124. In case of emergency please contact:
  133. 22a. How did you hear about us?
  143. 23. Essay
  144. Please write an essay (the equivalent of one or two pages) describing: your feelings toward Judaism and present commitment; any books (secular or religious) and experiences which have had an impact on you and why; any plans you have to study in Israel in the future.
  145. Either type directly in this text box or send it as an attached file.
  146. To avoid accidentally losing your essay please save it in a separate file on your computer before submitting.
  149. 24. Letters of Recommendation, References
  150. Please send (email is fine) a letter of recommendation from a Rabbi or Jewish educator who has known you for a period of at least one year. The letter should include the position, address and phone number of the person recommending you. Send in one of the following ways: Either e-mail to: yes@darchenoam.org Fax to: US fax # 516-908-6020 or Israel fax # 972-2-652-0801 Mail to: Yeshivat Darche Noam/David Shapell College of Jewish Studies, POB 3151, Jerusalem, 96343
  151. ----------------------------------------------------------
  152. Full payment is due immediately upon acceptance. This payment is non-refundable. (These fees are subject to periodic adjustments.) The applicant agrees to abide by the rules and regulations set by Darché Noam for the health, safety and welfare of the students. I understand that Darché Noam/Shapell’s, while it takes precautions to eliminate the risk of loss or damage to applicant’s personal property, is not held financially responsible if such loss or damage should occur. I understand that I am required to participate fully in all activities making up this program. I certify that the information given in this application is complete and correct. Signature of Applicant
  153. Captcha
  154. Please ensure that your application is fully completed, including photograph, essay, and letter of recommendation. No decision can be made until all materials are received.
 

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