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Personal Info
Username
Your username will be used for your profile page ( www.sendmetoisrael.com/username )
Email
Confirm email
Password
Confirm password
First Name
Preferred name
Last name
Age
Please use a number for your age not a word, ( ex: 15 not fifteen )
Gender
male
female
Birthdate
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Video
Paste here your video link from youtube (ex: http://www.youtube.com/watch?v=XXXXXXXX
Goal
Please use a number, no commas or dollar signs (ex: 3000 not $3,000)
Address
Address1
Address2
City
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Home phone
Cell phone
Trip Info
How did you hear about us?
friend
advertisement
NCSY programming
other
For what trips have you applied?
BILT
GIVE
ICE
JOLT
Kollel
Machane dror
Michlelet
TJJ Ambassadors
TJJ-The Jerusalem Journey
Have you applied for scholarships through NCSY for these trips?
yes
no
How much have you requested?
Have you applied for scholarships with other organizations?
yes
no
If yes, who?
How much have you requested?
How much can you/your parents put toward a summer program?