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The JEWlaskan Adventure
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Full Name (as on license):
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Email:
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Phone Number:
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Address Line 1
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City, State, Zip
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Birth Date:
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Was your mother born Jewish?
Please Select One
Yes
No
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Was your father born Jewish?
Please Select One
Yes
No
If other, please indicate your ethnic background:
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College Name and Dates:
Current Employment and Dates:
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Have you ever been on an Aish trip?
Please Select One
Yes
No
If yes, which trip and when?
Do you know anybody who has been on an Aish trip? If yes who?
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What do you hope to gain from this trip?
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What does being Jewish mean to you?
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Please attach a recent picture:
Please press submit and then proceed to the second part of the application.
