Workshop 75 Application

Workshop 75 Application

This is the full Workshop 75 Application. Once you click "next page," your entries from the previous pages will save. If you must stop and come back to your form, please keep your personalized URL from the email sent to you in a safe place. You will need this URL to come back to your application (so you don't have to start over). This application is due by March 31, 2025. If you have any questions, please contact Helen at programs@habonimdror.net or 267-908-7005 ext. 2.
Applicant Name (as shown on passport)*

First NameMiddle NameLast Name
Nickname or Preferred Name
Applicant E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Applicant Home Phone Number

Area CodePhone Number
Applicant Cell Phone Number*

Area CodePhone Number
Birth Date*

MonthDayYear
Gender and Pronouns

she/herthey/themhe/himfemalenonbinarymaleOther
Machaneh (Camp)*
Signature

Clear
Passport Number*
Expiration Date*

MonthDayYear
Country of Issue*

USACanadaOther

Parent/Guardian Information
Parent/Guardian 1*

First NameLast Name
Parent/Guardian 1*
Parent/Guardian 1 (Home)

Area CodePhone Number
Parent/Guardian 1 (Cell)*

Area CodePhone Number
Parent/Guardian 1 (Work)

Area CodePhone Number
Parent/Guardian 1 Marital Status*
Parent/Guardian 1 Marital Status: Other
If other was chosen for the last question, please explain.
Parent/Guardian 2

First NameLast Name
Parent/Guardian 2
Parent/Guardian 2 (Home)

Area CodePhone Number
Parent/Guardian 2 (Cell)

Area CodePhone Number
Parent/Guardian 2 (Work)

Area CodePhone Number
Parent/Guardian 2 Marital Status
Parent/Guardian 2 Marital Status: Other
If other was chosen for the last question, please explain.

References

Please provide the appropriate names and contact information for 2 references (phone number and/or email address). We ask for your first reference to either be from a source outside of Habonim Dror such as a high school teacher or a mentor. If you participated in the Madatz program at one of the Habonim Dror machanot, we ask for your second reference to be from a Madatz madrich/a. If you did not participate in the Madatz program, please provide the contact information for a mentor/director who is qualified to discuss your leadership skills.
Reference 1*

First NameLast Name
Reference 1: Relation to applicant*
Reference 1 E-mail*
Reference 1 Phone Number

Area CodePhone Number
Reference 2*

First NameLast Name
Reference 2: Relation to applicant*
Reference 2 E-mail*
Reference 2 Phone Number

Area CodePhone Number

Payment Information
Before scholarships, the cost of Workshop is expected to be $20,450-$21,450 USD. The official price will be announced in the next couple of weeks. HDNA is committed to making Workshop an accessible program for Canadian families to account for the CAD-USD exchange rate. Workshop tuition is fixed in US dollars, and includes all educational programming, seminars and day trips, food, housing, living expenses, ground transportation within Israel, health insurance, and more. Program tuition does not include airfare to and from Israel or a recommended kupa (collective spending-money fund) contribution of $1,000-$2,000. All Workshop participants will also receive a $200 scholarship from Masa.

If you plan on applying for the Amy Adina Schulman Scholarship or other scholarships that are available through HDNA, please be sure to fill out the HDNA Scholarship Form by July 1st, 2025.

Sue Aistrop, our Business Administrator, will be in touch with families soon to provide more details about payment schedules and the initial down deposit.

If you have any questions about financing Workshop, please reach out at finance@habonimdror.org or call (267)908-7005 ext. 1.
How will you be financing Workshop?*

0/100
I would like HDNA to assist me in finding and applying for scholarships*

YESNO
Please make sure to fill out the HDNA Scholarship Application by July 1st, 2025

Additional scholarship information, including a list of grant and scholarship opportunities, is available on our website.

Personal Statement
Please write a personal statement describing why you would like to be a participant on Workshop 75. The purpose of this statement is for us to start to get to know you and for us to understand how you are coming into this program. For more information about Workshop 75, please visit the Workshop page of our Habonim Dror programs website.

Your personal statement must include answers to the following questions:
- Why do you want to go on Workshop?
- What skills and/or qualities do you possess that will enable you to give your full commitment to the program?
- What skills and/or qualities would you like to strengthen?
- What do you think you can contribute to Workshop and what do you hope to get out of the experience?
- How do you feel about the emphasis on both formal and informal learning during Workshop (i.e.courses, Hebrew study, seminars, volunteer work etc.)?
- What does kvutzah (group/community) mean to you? How do you feel about the emphasis on kvutzah development, communal living and communal decision making?
- What do you think will be most difficult for you in this regard?
- What do you think will be hardest/most difficult for you about the program?
- Is there anything else you are concerned about or would like us to know?
Workshop 75 Personal Statement

Browse Files
Use this format for the name of your personal statement document: "LastName_FirstName_PersonalStatement" Cancelof

Next Steps
After you submit this application, someone from Habonim Dror North America will reach out to you to schedule an interview. After this interview, you will hear back from HDNA regarding conditional program acceptance. If you are accepted to the program, we will be in touch with you about completing an initial deposit of $2,000 USD and the following forms:
1. Participant Behaviour Contract
2. Participant Health Forms (this includes: online personal health form, physician form, copy of latest immunization record, and if applicable - a letter from your mental health specialist if applicable)
3. Payment Plan and Contract
Once these forms are complete, you will receive a final acceptance to the program.

If you have any questions throughout the registration process, please be in touch with Helen Landau at programs@habonimdror.net or by calling/texting 267-908-7005 ext. 2.
Should be Empty:

Workshop 75 Application

Parent/Guardian Information

References

Payment Information

Personal Statement

Next Steps