Reservist Application — Tzahal Shalom of Northern Westchester

2022 DELEGATE APPLICATION

Your application must be in by June 20, 2022

Name

First Name

Last Name

Gender

Male

Female

Age

Address

What’sApp/Tel Number

Do you have a current VISA for the US?

Yes

Your Unit and Rank

Dates of IDF Service (month/year to month/year)

Additional info about your IDF service (special responsibilities, special missions, promotions)

How many people were under your command?

Proficiency in English (1-10)

Family history (where did you grow up, were you born in Israel, were your parents born in Israel, siblings/ages)

Tell us about an experience/event that occurred during your service that you might share with a larger audience

How did you hear of this opportunity? ( If you know any of our alumni, write their name/relationship to you)

Have you traveled to the U.S. before? If so, where, when, family?

What have you been doing since you left the IDF? How did you spend the year during the COVID pandemic?

Is there anything else we should know about you?

Where will you be arriving from if chosen for the delegation?

Dietary restrictions? Kosher/ Kosher Style? Allergies?

Shomer Shabbat

Yes

I understand I have to submit a Selfie Video.

Please see instructions on our website.

Yes