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GZA Bikkurim application

To apply, first join the Green Zionist Alliance, then fill out this application and click submit.

* Have you become a paid-member of the GZA for the current secular calendar year?

Yes

Have you become a paid-member of the GZA for the current secular calendar year? :: To join, click on Take Action and then Join.

* Name:

* Mailing address:

* Phone number:

Phone number : :: If you are outside of the United States and Canada, please provide the country code as well.

Skype name:

Skype name: :: Skype isn’t required, but it can be an easier way for us to reach you, particularly if you live outside of the United States.

* E-mail address:

* Country (or countries) of citizenship:

Citizenship: :: If you hold citizenship in more than one country please list them all.

* Age:

Age: :: Please provide the age you will be at the time that you would be volunteering.

Sex:

Female
Male

Sex: :: Most of you will think this is an easy question. For everyone else, we apologize for causing any discomfort.

* Religion:

* When will you be in Israel?

* In what area(s) of the country will you be?

* For how much time would you like to volunteer?

Do you have a specific window of time for volunteering? If so, when?

Do you have a preference for a type of volunteering work? If so, then what?

* English-language proficiency:

Fluent
Conversational
Beginner

English-language proficiency: :: English-language proficiency isn't required -- but it helps!

* Hebrew-language proficiency:

Basically nothing
Beginner
Conversational
Fluent

Hebrew-language proficiency: :: Hebrew-language proficiency isn't required -- but it helps!

* What is your highest level of formal education?

* Please describe any relevant experience and/or skills:

Please describe any relevant experience and/or skills : :: Experience and skills are not required, but if we know what they are then we will be better able to find a suitable volunteering placement.

* Why would you like to volunteer?

* Do you have any physical limitations that would prevent you from certain types of volunteering?

No limitations
Some limitations

If so, please describe your limitations.

* Have you ever been to Israel?

Yes
No

Have you ever been to Israel? :: Prior experience in Israel is not required, but knowing whether or not you’ve been to Israel and in what context helps us to find a suitable volunteering placement.

If so, when?

If so, when? :: Prior experience in Israel is not required, but knowing whether or not you’ve been to Israel and in what context helps us to find a suitable volunteering placement.

* Have you been on Birthright Israel?

Yes
No

Have you been on Birthright Israel? :: Prior experience in Israel is not required, but knowing whether or not you’ve been to Israel and in what context helps us to find a suitable volunteering placement.

If not, would you be interested in a GZA Birthright trip?

Yes
No
Maybe

For volunteer-placement requests of a week in duration or more, please attach your resume in Microsoft Word (.doc) or PDF format.

For volunteer-placement requests of a week in duration or more, please attach your resume in Microsoft Word or PDF format. :: For volunteer-placement requests of less than a week you can submit a resume if you like, but it’s not required.

Is there anything else that you’d like to add?

Is there anything else that you’d like to add? :: Additional thoughts?

* Do you have a criminal history?

Yes
No

Do you have a criminal history? :: While a criminal record may not necessarily disqualify you for GZA Bikkurim, it can affect your placement.

If yes, please explain.

* By checking this box and submitting this form you agree to hold harmless the Green Zionist Alliance, its partner organizations and all of their paid and nonpaid workers and board members for any loss or damage, physical, financial or otherwise, that may result from your participation and application to become a Bikkurim volunteer. You also agree to complete a follow-up survey after you have completed your volunteering through GZA Bikkurim.

I understand and accept these conditions of my application.

By checking this box and submitting this form you agree to hold harmless the Green Zionist Alliance, its partner organizations and all of their paid and nonpaid workers and board members for any loss or damage, physical, financial or otherwise, that may result from your participation and application to become a Bikkurim volunteer. You also agree to complete a follow-up survey after you have completed your volunteering through GZA Bikkurim. :: We are pretty sure that nothing bad will happen, but our legal counsel said that this needed to be here anyhow!

* As a security measure, please type the CAPTCHA that's shown to the right.

As a security measure... :: This is a CAPTCHA – it’s designed to help ensure that this form is being filled out by a human, and not some zombie computer!

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