Beyond the Headlines Application
This application takes approximately 15 minutes and should be completed by the student.
Questions?
Reach out to Bar Segev, Israel & Overseas Associate by calling or texting 615-660-7088 or email bar@jewishnashville.org
Student's Full Name :
*
First Name
Last Name
Student's Birthdate :
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Student's Email:
*
example@example.com
Student's Phone Number:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Student's Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
First Emergency Contact :
*
First Name
Last Name
Relationship to Applicant :
*
First Emergency Contact Phone Number:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Second Emergency Contact:
*
First Name
Last Name
Relationship to Applicant :
*
Second Emergency Contact Phone Number:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Dietary Restrictions :
*
School :
*
Graduation Year:
*
Are you affiliated with a Jewish Congregation?
*
In 1-2 paragraphs, please share why you want to participate in this cohort.
*
In a few sentences, please share topics related to Israel you feel less comfortable or confident discussing, or where you would like to deepen your understanding and knowledge.
*
In a few sentences, are there areas or topics related to Israel that you already feel comfortable and confident discussing with others?
*
Is there anything else that you would like to share?
Submit
Should be Empty: