2022 Aish Family Mission Application

I am applying for *

Summer 2022 June 20-28 Winter 2022 December 26-January 3

Full Name *

First Name Last Name

E-mail *

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Phone Number *

Area Code Phone Number

Passport Number

D.O.B. *

Month Day Year

Please list additional members of your family

Please Run the Wizard

Does anyone applying have any accessibility requirements or physical restrictions? *

Is anyone applying receiving medical treatment? *

Does anyone applying have a food allergy? *

If you answered yes to any of the above, please elaborate

Please list and explain any family history of conversion/adoption *

Please let us know why you would like to travel with AISH *

Emergency Contact *

First Name Last Name

Emergency Contact relationship *

Emergency Phone *

Area Code Phone Number

The cost of the trip is $3200 per person+airfare. Upon acceptance of your trip application, a $500 deposit per person is due to hold your families spot.

About the scholarship:

These scholarships will be awarded to immediate family members of past Aish trip partcipants. It is a local scholarship. We anticipate receiving many more applications than funding availability. Scholarships will be awarded based on criteria set forth by the scholarship committee including but not limited to current involvment, past partcipation, proxomity and financial need.

Itinerary highlights:

Northern Israel,

Northern Israel includes Jeeping, Hiking, Winery, Northern Look out

Tel Aviv,

Tour of Old Jaffa, Shuk, INdependance Hall, and more

Jerusalem

Kotel Experience, Old City Tour, Shabbat, Yad V'Shem, Machane Yehuda and more

Southern Day trip

Masada, Dead Sea, Eretz Bereshit

How many total family members? *

Total Due