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* 1. First Name

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* 2. Last Name

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* 3. Select Your School

*Note: If your school is not listed, applications are now closed*

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* 4. Email Address

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* 5. Phone Number

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* 6. Major

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* 7. Expected Graduation 
*Note: Seniors are not eligible for this trip*

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* 8. Will you be on campus for both Spring 2018 and Fall 2018?

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* 9. Do you have, or have eligibility for, a US passport?

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* 10. Do you have an Israeli passport, or hold Israeli citizenship?

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* 11. If you have a passport from another country, please indicate which country or countries:

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* 12. Do you currently have a passport valid through July 2018?

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* 13. Have you ever been to Israel?

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* 14. What are you involved with on campus? Do you hold any leadership positions?

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* 15. Why are you interested in participating in this trip?

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* 16. What do you hope to gain from this trip and how do you think it will help you grow as a campus leader?

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* 17. How do you hope to translate your experience in Israel back on campus?

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