Rochester ShinShinim Host Family Application

Rochester ShinShinim Host Family Application

We are thrilled that you are considering hosting a young Israeli leader, one of our ShinShinim, in your home. We are currently accepting applications for the 2026-2027 school year. For more information about the ShinShinim program, visit www.jewishrochester.org/shinshinim or contact Michal Spivak, ShinShinim Program Director at mspivak@jewishrochester.org. The following questions will serve us in the matching process.
Prospective Host Family Last Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number

Area CodePhone Number
Adult 1 Name

First NameLast Name
Adult 1 Cell Phone Number(s)
Adult 1 Work Phone Number(s)
Adult 1 Email
example@example.com
Adult 2 Name

First NameLast Name
Adult 2 Cell Phone Number(s)
Adult 2 Work Phone Number(s)
Adult 2 Email
example@example.com

Children

Rows	Children's names	Age	Do they live at home? (please write "college" if away at college)
1
2
3
4
5
6
7

Are there others who live in the home?
Please include all relevant information: Name, age, gender