JAM MIX APPLICATION
First Name
Last Name
Email Address
Phone Number
Year of Graduation
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Describe your previous Jewish Education
Is your father born Jewish?
Is your mother born Jewish?
Have you ever been to Israel? If so what programs?
What do you hope to gain from this program?
List four adjectives that most describe yourself:
Which nights work best for you?
Optional - JAM UCSB INTEREST FORM
I'm interested in FREE trips to Israel
I'm interested in exotic trips (ex. Alaska, Mt. Kilimanjaro)
I'm interested in Delicious Shabbat Dinners
I'm interested in Jewish Social Events
I'm interested in learning Hebrew
I'm interested in a semester abroad in Israel
I'm interested in an internship opportunity in NY, LA or Israel
How did you hear about this program?
For any questions email us at NHanfling@gmail.com