SEMINAR IN ISRAEL FOR CALIFORNIA STUDENT LEADERS

December 28, 2013 January 5, 2014

APPLICATION
1



Please email your completed, typed application, along with your resume, to
apply@projectinterchange.org. Applications are due by Friday, October 7, 2013.

CONTACT INFORMATION
Full Name: Click here to enter text.

College/University: Click here to enter text.

Expected Date of Completion (month/year): Click here to enter text.

Major(s): Click here to enter text.
Minor(s): Click here to enter text.
GPA: Click here to enter text.
Current Address: Click here to enter text.

Cell Phone Number: Click here to enter text.

Email Address: Click here to enter text.

STUDENT LEADERSHIP INFORMATION
If you hold a leadership position in multiple organizations, using the same
formatting, please provide the details for each position under separate cover.

Organization Name: Click here to enter text.

Number of Members: Click here to enter text.

Please describe the mission of your organization: Click here to enter text.


Your current position: Click here to enter text.

Dates you will hold this position: Click here to enter text.

Expected position for 2013-14 year: Click here to enter text.

Advisors Name and Phone Number:

Under separate cover, please list all additional campus organizations with
which you are involved.
SEMINAR IN ISRAEL FOR CALIFORNIA STUDENT LEADERS
December 28, 2013 January 5, 2014

APPLICATION
2



HAVE YOU EVER VISITED ISRAEL OR THE MIDDLE EAST? Yes No
If so, describe the nature and dates of your trip.
Click here to enter text.

PLEASE PROVIDE 2-3 PARAGRAPH ANSWERS TO THE FOLLOWING QUESTIONS
Please submit your responses under separate cover.

1) Why you are interested in participating in this program? What do you expect to
gain from the experience?

2) Have you studied the Middle East or related issues in an academic setting? If so,
please describe.

3) What topics particularly interest you about Israel and the Middle East?

4) Describe how you view your leadership role(s) within your organization(s).

5) What are your career goals?

REFERENCES
Reference Name:

Relationship:

Phone:

Email:


Reference Name:

Relationship:

Phone:

Email:

I HEREBY AFFIRM THAT, TO THE BEST OF MY KNOWLEDGE, ALL INFORMATION
PROVIDED IN THIS APPLICATION IS TRUE AND CORRECT.

E-signature: Date: