Toggle navigation
About
The Retreat
Apply
Donate
Apply Now
Participant
Application
Staff
Application
Alumni Weekend
Application
Apply Now
Please enable JavaScript in your browser to complete this form.
Applicant Name
*
Hebrew Name
Legal Address
Which session(s) are you applying for?
*
---
Women's
Men's July
Men's Aug
Jintern?
No
Yes
Contact Information
Email
*
Cell phone
*
Mailing Address
If different from above.
Work phone
Home phone
Emergency contact number
Background Information
Date of Birth
Place of Birth
Citizenship
Were you ever in Israel?
Yes
No
Dates
Reason for visit
Was your mother born Jewish?
*
---
Yes
No
Was your father born Jewish ?
*
---
Yes
No
Parent's marital status
select...
married
divorced
seperated
Father’s name
Father’s occupation
Father's employer’s name
Mothers name
Mother’s occupation
Mother's employer’s name
Are there other children in the family?
---
Yes
No
Number of brothers
Number of sisters
Education Data
List chronologically all the schools you have attended. Include name of school, location, dates of attendance, graduation date and any degrees awarded.
Colleges or Universities
Jewish Schools (if not included above)
Present occupation, if not attending college
Please detail a brief career bio
Jewish Education
Hebrew: Rate your proficiency
Speak
Not at all
Minimal
Average
Very Well
Write
Not at all
Minimal
Average
Very Well
Read
Not at all
Minimal
Average
Very Well
Understand
Not at all
Minimal
Average
Very Well
Detail areas of subject matter studied in following
Bible
Hebrew Literature
Jewish History
Talmud
Other
Additional Information
Languages spoken at home
Activities and organizations in which you have participated
Do you need financial assistance in meeting the tuition requirement of $350?
No
Yes
Before May 15th, the tuition will be $350. After that time it will be $400.
Are there any special characteristics of your medical history (including medicines, physical limitations or food requirements)?
References
List two persons who can serve as a reference for you.
Reference #1 - Name
Reference #1 - Relationship
Reference #1 - Phone/Address
Reference #2 - Name
Reference #2 - Relationship
Reference #1 - Phone/Address
How did you hear about Sinai Retreats?
Please describe what you hope to gain from Sinai Retreats.
[For jinternship only] Please enter your congressman district information
Please upload a profile picture
Click or drag a file to this area to upload.
Any reasonably clear headshot should be fine. This is for internal identification purposes only.
Website
Submit