Israel Uncovered Campus Leaders Mission to Israel Application

1.First Name(Required.)
2.Last Name(Required.)
3.Select Your School

*Note: If your school is not listed, applications are now closed*
(Required.)
4.Email Address(Required.)
5.Phone Number(Required.)
6.Major(Required.)
7.Expected Graduation 
*Note: Seniors are not eligible for this trip*
(Required.)
8.Will you be on campus for both Spring 2018 and Fall 2018?(Required.)
9.Do you have, or have eligibility for, a US passport?(Required.)
10.Do you have an Israeli passport, or hold Israeli citizenship?(Required.)
11.If you have a passport from another country, please indicate which country or countries:
12.Do you currently have a passport valid through July 2018?(Required.)
13.Have you ever been to Israel?(Required.)
14.What are you involved with on campus? Do you hold any leadership positions?(Required.)
15.Why are you interested in participating in this trip?(Required.)
16.What do you hope to gain from this trip and how do you think it will help you grow as a campus leader?(Required.)
17.How do you hope to translate your experience in Israel back on campus?(Required.)