This application will take about 15-20 minutes to complete.  As part of the process you will need to upload a copy of the inside page of your passport, a copy of both sides of your health insurance card. If you do not have a passport or if your passport will expire prior to November 30, 2024, you must apply for one now.  It can take up to 16 weeks to get a new one and we need this information as quickly as possible.

You will receive a link to the medical form which needs to be completed by a physician not related to you.  It can returned via US mail (5890 S Pine Island Road, Davie, Fl  33328) or via email (mol@jewishbroward.org)

Upon receipt of this application a personal interview will be scheduled as soon as possible.  A Staff/Adult Calendar of sessions will be emailed in order for you to check to be sure you are able to attend all our pre March sessions.

Upon acceptance, we will need 2 legal size passport pictures.

 

STAFF POSITIONS:

MADRICH(A) – STAFF MEMBER – You have a background in education, either formal or informal, and/or you have worked with teens and have a wonderful rapport with them. You will be asked to teach, counsel, and advise a group of teens and work directly with a Bus Captain.

MEDICAL STAFF – You are a licensed physician, nurse practitioner, physician’s assistant, or registered nurse experienced in dealing with teens. You are qualified to deal with and treat emergencies. The nurse will provide care under the direction of the physician(s). The medical staff will be responsible for the medical care of a group of buses, including teens and adults, and may have to miss some group activities.

SURVIVOR LIAISON – Preferably, you have participated in the March of the Living previously and would like to return to help our survivors during this experience which often times can be difficult for them as they age. You have an affinity for working with older adults and understand you may miss some group activities.

ADULTS ACCOMPANYING THE TEENS – You are coming on this trip to help with the teens at various levels, and to witness how this experience allows the teens to grow as proud and dedicated Jews. You may be a parent of one of the teens or not. You will be asked to participate fully in the program, attending all sessions, both for teens and adults, and be given responsibilities with the teens. You will be required to follow the rules and regulations to which the teens must conform. It should be noted that this is not a "family experience". Additional information will be available at the interview.

As a reminder, staff and accompanying adults pay a fee which will be discussed at your interview

PLEASE NOTE:  We will also have an Adult Only Program which is a flexible program utilizing 5 star hotels. 

If you would like information of that program, or have any questions about the March of the Living, please contact Galit Alboukrek, Director, March of the Living - 954 660 2077  or galboukrek@jewishbroward.org

 

 

GENERAL INFORMATION

PERSONAL PROFILE

MEDICAL INFORMATION

It is our intention to rely on the medical information you submit below, along with the physician's form (to be returned separately) and any supplementary letters from specialists or mental health professionals in determining your acceptance and continuation in this program. Omissions or misstatements are at your risk and that of your physician(s) or therapist(s).

Should you be found to have any condition, mental or physical, that is not fully disclosed on this form, the physician's form or in an accompanying letter from an appropriate, qualified medical or mental health professional, you may, at the sole and absolute discretion of the program, be returned to the USA at your own expense, or be treated in the country(ies) you are visiting, at your own expense, and there shall be no refund of monies paid.  The leadership of this program and its sponsoring organizations are hereby released from all responsibility or liability of any kind whatsoever arising out of any aspect of your medical history and mental or physical condition.

If any changes take place in your medical or mental condition prior to departure of this program, you must immediately submit a full explanatory letter, signed by an appropriate, qualified medical or psychological professional, detailing your diagnosis, prognosis, and treatment. Failure to submit such a report may result in your expulsion from this program with no refund of fees.

By marking the box below, you acknowledge this medical agreement.

Mark the box(es) next to any medical condition listed below which apply to your health history.

The March of the Living provides 3 kosher meals per day. At the interview we will discuss any dietary requirements listed below

In checking the "Yes" box below, I certify that I am able to participate on the March of the Living, understanding that the trip is strenuous with early wake ups and late curfews, frequent and sometime long bus travel, and many hours of standing and walking. I further agree to immediately send my physician the Medical Form which must be completed and returned to the office  

APPLICANT AGREEMENT AND UNDERSTANDING

By placing your name below you understand you are providing medical and other information to the providers of the local March of the Living group, International March of the Living and Jewish Federation of Broward County. The undersigned represents that all of the information contained in such forms is true and correct. All medical conditions and medications are true and correct. Omissions or misstatements are at my risk and that of my physician(s) or therapist(s). The undersigned hereby authorizes the leadership of the March of the Living and/or its providers to obtain treatment as it, in its sole and absolute discretion, deems necessary and advisable. The costs of any medical treatment provided shall be the responsibility of the undersigned.

The undersigned agrees to hold the International March of the Living, Inc. ("March"), the Jewish Federation of Broward County, as well as any other organization, their staff and/or volunteers harmless from any claim, loss, damage, bodily injury, personal injuries, including emotional trauma, known or unknown, death, liability or expense (including attorney's fees) which the undersigned might sustain/alleged sustain or incur/alleged incur in connection with, as a result of, or by reason of their participating in the March or any of the activities relating thereto, whether based upon the negligence or breach of contract by any of the above mentioned organizations/agencies of their representatives.

The organizations sponsoring the March operates the tour offered under this program only as agents of the airline, bus operators, hotel facilities, and others which provide the actual arrangements, and are not liable for any act of omission, delay, injury, loss, damage or nonperformance occurring in connection with these arrangements.

It is further noted by the undersigned that while all food on the March of the Living is kosher, we cannot always provide for all special dietary needs.

Terms and Conditions: 

By signing below, I agree to abide by all rules and regulations as set forth by the Broward County March of the Living, International March of the Living or the Jewish Federation of Broward County.

I further acknowledge the information contained in this application is correct and truthful.  All information will be used in conjunction with the March of the Living program.

Use your mouse to sign below.