LivingLinks Application Winter 2023 & Spring 2024
Apply for one of our upcoming LivingLinks trips. Select your preferred date below. Please note: All trips depart from NYC unless otherwise noted.
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December 24 - 31, 2023
March 10 - 17, 2024
Student Information
Full Name
*
First Name
Last Name
Email
*
example@example.com
Cell Phone Number
*
-
Area Code
Phone Number
Gender
*
Female
Male
Date of Birth
*
-
Month
-
Day
Year
Date
University
*
If you do not see your university is listed, please select other.
Graduating Year
*
Please Select
2023
2024
2025
2026
2027
2028
My Chabad on Campus is run by Rabbi and Mrs. ...
*
Who is your campus Rabbi or Rebbetzin?
Home State
*
Please Select
I live outside of the US.
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Have you previously participated in a trip to Poland?
*
Yes
No
If yes, please explain:
Do you have any allergies or dietary restrictions
*
Yes
No
If yes, please explain:
Do you have any medical conditions we should know about for the trip?
*
Yes
No
If yes, please explain:
Are you currently taking any medication?
*
Yes
No
If yes, please explain:
Are you currently seeing a psychologist or psychiatrist?
*
Yes
No
If yes, please explain:
*
Jewish Family Background
Mother
*
Born Jewish
Converted to Judaism
Other
Father
*
Born Jewish
Converted to Judaism
Other
Jewish Education (check all that apply)
*
Hebrew School
Summer Camp
Jewish Day School
Bar/Bat Mitzvah
Jewish High School
None of the above
How did you hear about the trip? (check all that apply)
*
Chabad Rabbi/Rebbetzin
Social Media
Friends and Family
Other
Please tell us about your current Jewish campus involvement:
*
In two paragraphs or more describe why you want to join this trip and what you hope to gain from it?
*
0/0
Is there anything else we should know about you or your application?
I understand that I must have a passport valid for at least 6 months from the last day of the trip.
*
Confirm
I understand that Chabad on Campus may contact me for my valuable feedback as a LivingLinks participant.
*
Confirm
I would like to receive information about Jewish post-graduate opportunities offered by Chabad on Campus funding partners.
*
Yes, please
No, thank you
Submit
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