• JRC Trip Application

    Let's start by getting you to the correct form. Choose below which trip you are interested in.
  • Trip is full or reg closed
  • We're sorry, but registration for that trip is closed. Please do not continue filling out this form

  • To register for this trip, please contact Rabbi Fully directly.

  • Israel Trip 2026

    now that you're on the correct page, let's start by filling out some basic information about you. After submitting this form, you will be redirected or will receive an email asking you to pay a $20 application fee. Your application will not be processed or considered until that step is complete.
  • Poland Trip December 2026

    now that you're on the correct page, let's start by filling out some basic information about you
  • Girls Trip February 2026

    now that you're on the correct page, let's start by filling out some basic information about you
  • If at anytime during your application you need more time, just click "Save" at the bottom of any page and you'll be emailed a link which you can use to come back and and continue later.

  • Format: (000) 000-0000.
  • When is your birthday?*
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  • Are you in Greek Life?
  • Family

    Tell us about your family. Btw, the Hebrew word for family is "mishpacha" with the "ch" being that guttural sound that sends spit flying everywhere ;-)
  • Parent / Guardian Information

  • Do your parents live at the same address?
  • Prior Israel Experience

  • Have you ever been to Israel before?*
  • Were either of your parents born in Israel, or do you hold Israeli citizenship, or an Israeli passport?*
  • Departure Airport

    We are offering you a round trip flight from several airport options. There will be a group of at least 10 people leaving from each place. (If you chose "other" we will be in contact if it's possible)
  • Departure and Return Airport*
  • Trip Extensions

    If you would like to extend your stay in Israel you may indicate your preferred return date below. We will do our best to book your return on that date so you won't incur any change fees. Please note that once we issue your ticket, if you decide to change dates, you will be responsible to pay for the change fees.
  • What date would you like to RETURN from Israel? (Leave blank for May 19th group return flight)
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  • Medical

  • Any severe food or medical allergies we should know about? If so, please elaborate*
  • Do you have any accessibility requirements or physical limitations/restrictions that we need to accommodate while you're in Israel?*
  • In the past 2 years have you suffered from of been diagnosed with any of the following?*
  • Are you currently taking any prescription medication (other than birth control)?*
  • Passport Information

  • Do you currently have a valid Passport? If you chose "no" you will be required to provide this information later before we can offer you a seat on the trip.*
  • If this is not your date of birth, please correct on the first page of this application
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  • Last Step!

    After clicking submit and you'll receive an email with your next steps
  • hidden-grad-date-picker
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  • Jewish Youth Promise (you're almost done!)

    The next two fields are added by request of a donor to this program. Please commit to the promise outlined below, and if possible write something meaningful in the text box.
  • You're almost done!! Just two boring admin checkboxes...

  • Should be Empty: