Picture of me
Program dates: Wednesday, December 21 through Friday, December 30, 2016.
Note: The application deadline for the JCFR P2G Educators Delegation of Dec. 2016 is August 15, 2016. No applications received after that date will be accepted. Picture of the applicant:
General Information: Name: Gender: Date of Birth: Family Status: Home Address:
E-mail Address: Phone Number: Emergency contact name and phone number: Allergies: Dietary Restrictions: Shabbat Observant: Kosher Observant: Special Requests:
Contact Daniel “Doni” Fogel, director of Israel and Overseas Programming for the Jewish Community Federation of Richmond at [email protected] or (804) 545-8626.
Professional Information: University degree (s) and major/miner areas of study ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Name of School or Educational Facility: ______________________________________ My student's ages and grade level: ___________________________________________________________________________ Fields of teaching: ___________________________________________________________________________ ___________________________________________________________________________
I have experience of teaching the following subjects: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Other activities with children and youth: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Previous experience with Partnership2Gether: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________
Contact Daniel “Doni” Fogel, director of Israel and Overseas Programming for the Jewish Community Federation of Richmond at [email protected] or (804) 545-8626.
About me (yourself, your family, hobbies, school, activities, plans, beliefs etc.):
_____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Is this your first visit to ISRAEL? YES / NO If not, where in Israel have you previously traveled? ___________________________________________________________________________ ___________________________________________________________________________ In my visit to the ISRAEL and your community I am looking forward to:
_____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Why do you want to be in this program? What are your expectations from the program? (Feel free to submit a fuller 1 page answer.) ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________
!בהצלחה Contact Daniel “Doni” Fogel, director of Israel and Overseas Programming for the Jewish Community Federation of Richmond at [email protected] or (804) 545-8626.
Note: The application deadline for the JCFR P2G Educators Delegation of Dec. 2016 is August 15, 2016. No applications received after that date will be accepted. Picture of the applicant:
General Information: Name: Gender: Date of Birth: Family Status: Home Address:
E-mail Address: Phone Number: Emergency contact name and phone number: Allergies: Dietary Restrictions: Shabbat Observant: Kosher Observant: Special Requests:
Contact Daniel “Doni” Fogel, director of Israel and Overseas Programming for the Jewish Community Federation of Richmond at [email protected] or (804) 545-8626.
Professional Information: University degree (s) and major/miner areas of study ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Name of School or Educational Facility: ______________________________________ My student's ages and grade level: ___________________________________________________________________________ Fields of teaching: ___________________________________________________________________________ ___________________________________________________________________________
I have experience of teaching the following subjects: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Other activities with children and youth: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Previous experience with Partnership2Gether: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________
Contact Daniel “Doni” Fogel, director of Israel and Overseas Programming for the Jewish Community Federation of Richmond at [email protected] or (804) 545-8626.
About me (yourself, your family, hobbies, school, activities, plans, beliefs etc.):
_____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Is this your first visit to ISRAEL? YES / NO If not, where in Israel have you previously traveled? ___________________________________________________________________________ ___________________________________________________________________________ In my visit to the ISRAEL and your community I am looking forward to:
_____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Why do you want to be in this program? What are your expectations from the program? (Feel free to submit a fuller 1 page answer.) ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________
!בהצלחה Contact Daniel “Doni” Fogel, director of Israel and Overseas Programming for the Jewish Community Federation of Richmond at [email protected] or (804) 545-8626.
