Host & Buddy Application — Tzahal Shalom of Northern Westchester

Family Name

Address

City

School District

Host Parent 1 Name & Profession

Host Parent 1 Email

Host Parent 1 Phone Number

Host Parent 2 Name & Profession

Host Parent 2 Phone Number

Host Parent 2 Email

Please provide names, ages, schools and grade of other family members living at home

If you are affiliated, please list which one.

Please list other organizations your family is involved with

What are your family’s interests/hobbies?

Does anyone in your family speak other foreign languages?

If you have pets, what kind?

Have you been involved with Tzahal Shalom of Northern Westchester in prior years? If yes, please explain.

What else would you like Tzahal Shalom of Northern Westchester to know about you and your family?

Please introduce yourself to your potential future delegate!

Apply to be a host or buddy family