Israel Ambassadors Application

If you would like more information or need help with your application, please contact us.

Applicant Information
First Name:
Last Name:
Email:
Birthdate:
Address:
City:
State:
ZIP Code:
Home Phone:
High School:
Year:
Synagogue Affiliaton:

Personal Statement and Activities
List your extracurricular interests and describe your involvement: Please include clubs, sports, leadership roles, Jewish/Israel activities, and any after-school or weekend activities.


Why do you want to be an Israel Ambassador? Suggested points to include (please respond in 250 words or less): What does Israel mean to you? What do you hope to gain from participation in this program? What would your participation bring to the program? What is the importance of being an Israel Ambassador?