Apply

General Information

First Name:

Last Name:

Gender:

FemaleMale

Date of Birth:

How did you hear about the program?:

School Information

Please list chronologically all the schools you have attended.

Elementary School(s):

Please enter a name of Hebrew school you attended?

What, if any, Hebrew school did you attend?:

High School(s):

Universit(ies):

Year of Graduation:

What is your academic focus?:

Your Contact Information

Address:

Unit:

City:

State:

Zip/Postal Code:

Country:

Telephone:

Cell Phone:

Email Address:

Permanent/Parents' Home Address Information

Residence of:

Address:

Unit:

City:

State:

Zip/Postal Code:

Country:

Telephone:

Email Address:

Family Background Information

Mother's First Name:

Mother's Last Name:

Mother's Occupation:

Father's First Name:

Father's Last Name:

Father's Occupation:

Parents' Marital Status:

Please enter a religion into which your biological father was born.

Into what religion was your biological father born?:

Please enter a religion into which your biological mother was born?

Into what religion was your biological mother born?:

Please enter a religion into which your biological grandparents were born?

Into what religion were your biological grandparents born?:

Please summarize conversion history, if any:

Do you consider yourself Jewish?:

Please, explain:

Please enter, if any, your Jewish affiliation.

What, if any, is your Jewish affiliation?:

Describe any Jewish educational trips, schools, programs or general Jewish experiences in which you have participated.:

How would you describe your Jewish education?:

If you specified "Other", please explain:

Have you been to Israel before?:

Please specify the context of your visit to Israel.

In What Context?:

List any friends who have completed or are applying to this program:

Special Requirements Information

Please select if you have any accessibility requirements or physical limitations or restrictions.

Do you have any accessibility requirements or physical limitations or restrictions?:

If so, please elaborate:

Please select if you have any special dietary requirements.

Do you have any special dietary requirements?:

If so, please elaborate:

Please select if you are taking any medication.

Are you currently taking any medication?:

If so, please elaborate:

Please select if you ever been hospitalized.

Have you ever been hospitalized?:

If so, please elaborate:

In two paragraphs please explain why you feel you would be a good candidate for, and what you hope to gain from the Generation to Generation Fellowships Program.

Paragraphs:

I affirm that all the information provided in this application is true, and understand the Generation To Generation guidelines enumerated below:

1) I understand that in order to receive the full fellowship I will need to attend all the program components including weekday seminars, weekend events, and graduation. I also understand that failure to attend the above-stated events will result in a prorated deduction from program stipend.

2) I will comply with all basic standards of program conduct in a manner befitting a Generation To Generation Fellow. G2G reserves the right to ask any fellow to discontinue participation for any reason it sees fit. In such event the student will not receive any Fellowship funds.

3) A personal interview may be required before final admission.

G2G admits students of any race, color, national and ethnic origin.