Register for Tailor-Made Volunteering:

Please complete the form below. We will contact you shortly and begin working to match you to an ideal volunteering project.

Personal Information

First Name:

Last Name:

Date of Birth:

Gender:

Age at time of
volunteering:

Religion:

Contact Information

Street:

City:

State:

Country:

Postal Code:

Email:

Phone #:

Cell Phone Number:

Are you coming to volunteer alone or with a partner?

Alone With a partner

Name:		Relationship:		Age:

Experience & Qualifications
*	Current Profession:
*	Details:
*	Level of Education:
*	Details:
*	Language Proficiencies Please select all languages you are proficient in:
	English Hebrew Russian Spanish French Arabic Yiddish Other

Level of Spoken Hebrew:

Level of Written Hebrew:

Level of Reading Hebrew:

Other Information:

I would like accommodations...

provided by my volunteer placement (limited locations in the periphery, not available in central cities, based on available)
not provided by my volunteer placement

I would like to start:
(approximate - start date not guaranteed)

I would like to stay for:

I am interested in volunteering in the following areas:
(check all that apply)

Educational (tutoring, teaching, mentoring, etc.)
Environmental (ecological, organic farming, nature preserve, etc.)
Health Care (senior home, disabled persons center, etc.)
Humanitarian (women's shelter, work with African refugees, etc.)
Office Work (fundraising, translating, websites, etc.)
In my profession
Other

I am interested in volunteering with:
(check all that apply)

Animals
Kids/Youth
Students
Adults
Elders
Sick & Disabled
All

Do you have any experience volunteering previously?

Please describe:

*	Do you have a specific request for your work (location/placement)?

	Please describe:

*	Have you been to Israel before?	Yes No

	When and for what?

What are your hobbies?

Do you have any comments for us?

Are you in need of any of the following services?
(for an additional fee)
(check all that apply)

Domestic transportation
Day and overnight trips - with a group or private guide
Health insurance
Travel insurance
Hebrew Ulpan
Private lectures on Israeli culture, politics or society
Guided museum and/or site visits
Mobile phone