Fellowship Form #1 - Application

Fellowship Application

Applications must be submitted by August 1st, 2024
Do you live in the USA?

YesNo
Graduation Yr.
LEGAL Name as it appears on your Passport*

First NameLast Name
Email*
Phone Number*
Area Code and Number
Referral - Who can can we thank for referring you to the Olami Fellowship?
Non-US Phone Number*

Country CodeArea CodePhone Number
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Zip / Postal CodeCountry
Gender*
Your birthday*

MonthDayYear
Date
HEADSHOT - Please upload a picture of yourself, headshot only.
Would you like to upload a picture OR take one now?*

UploadTake It Now
Upload a picture of your choice*

ONE Picture only
Cancelof
Take Photo*
A copy of your health insurance card

Cancelof
Preferred Airport
List up to THREE preference, in order
Do you have a passport?

Yes, sure do.Nope
One of the highlights of our fellowship is a trip to Israel!

You will need a passport to go.

No passport yet? No problem, IF you do everything you need to do NOW to get it.

US Passport applications can take 3 - 4 MONTHS to go through.

Please apply now and reach out to us if you have any questions: admin@olamilaunch.org
Passport Number*
A copy of your passport picture page*

Cancelof
What is the name of the school you are attending this year?*
Did you attend the same school for the past four years?*

YesNo
Please list the name (names) of the school(s) you attended in the past three years?
Current Grade*
Shirt Size
What are your interests: extra-curricular, leadership, hobbies etc. ?*
A part of the Fellowship is exploring the possibility of spending a gap year in Israel and understanding yourself and your Judaism. What are your thoughts on such a possibility?*
What challenges do you foresee in going to Israel for a year? *
VIDEO ABOUT YOURSELF

We will ask you for a short video about yourself and why you feel you are qualified to become an Olami Fellow. Please check your email inbox from time to time for an email from us about the video and other Fellowship info.

Acceptance into the Fellowship requires you submit this video!
Which organization(s) have you been involved with?*

NCSY / JSUCteenUSYOorahMJCBBYOBatyaOther(s)
What Region of NCSY?*

AtlantaAtlantic SeaboardCanadaCentral EastMidwestNew JerseyNew YorkNortheastSouthernSouthwestWest Coast*I HAVE NO IDEA
How long have you been involved with this organization(s)?*
A required parental consent form will be sent directly to your parent / guardian upon completion of this application.
My parents are:

MarriedSeperatedDivorcedOne of them is deceased
Parent / Guardian #1*

First NameLast Name
Parent Email #1*
Parent #1 Phone Number*
Please enter a valid phone number.
Parent #1 Non-US Phone Number*

Country CodeArea CodePhone Number
Parent / Guardian #2

First NameLast Name
Parent Email #2
Parent #2 Phone Number
Please enter a valid phone number.
Parent #2 Non-US Phone Number

Country CodeArea CodePhone Number
Provide the name & email of two references like rabbis, teachers, advisors etc. that know you. A short form will be sent to them to submit.

Please note, we cannot process your application until we receive replies from your references. You will not hear back from us about your acceptance until after those references are submitted.

Consider checking-in with your references to ensure they saw the email from us and replied.
Reference #1*

First NameLast Name
Ref #1 Email*
Ref #1 Phone Number*
Please enter a valid phone number.
Ref #1 Non-US Phone Number*

Country CodeArea CodePhone Number
Reference #2*

First NameLast Name
Ref #2 Email*
Ref #2 Phone Number*
Please enter a valid phone number.
Ref #2 Non-US Phone Number*

Country CodeArea CodePhone Number
I recognize the benefits of being a member of this fellowship include two heavily subsidized trips, one is a long exclusive weekend retreat and the other to Israel. I will also be eligible for a scholarship of up to $4,000 towards Olami Launch approved Gap Year programs in Israel as well as assistance with significant additional Gap Year scholarship awards.

Additionally, I will receive a ₪1,000 Shekel stipend if I:
*Maintain 100% attendence at monthly Zoom Sessions.
*Enroll in an Olami Launch approved Gap Year Program.
The 1,000 Shekel will be awarded directly to me in November of my Gap Year.

I understand that if accepted into the Olami Launch Fellowship, it would mean a commitment to partake in all events and programming.
These include:
*Exclusive Retreat at a cost of $100 (Travel Fee)
*Winter Trip to Israel leaving from NYC at a cost of $400 (Travel Fee). Additional domestic travel fees may apply.
*Monthly Zoom Sessions

Remember also:

We will ask you for a short video about yourself and why you feel you are qualified to become an Olami Fellow. Please check your email inbox from time to time for an email from us about the video and other Fellowship info.

Acceptance into the Fellowship requires you submit this video!
I confirm that all information above is accurate and true. I understand that any false information can result in the disqualification of this application. I accept the commitment spelled-out above.
Date*

MonthDayYear
Date
Signature*

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