Connect Israel Application Name * First Name Last Name Email * Phone * (###) ### #### Date of Birth * MM DD YYYY Gender * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country What field do you work in? * Technology Business/Finance Healthcare Education Nonprofit/NGO Marketing/Advertising Creative Arts/Design Engineering Government/Politics Law Hospitality/Tourism Media/Journalism Entrepreneurship/Start Ups Social Services Other Job Title * Current Employer/Company Name * Please provide your LinkedIn profile Paste link here What languages do you speak? * What is your highest level of education? * High school Associate degree Bachelor's degree Master's degree Doctorate or higher Do you have a valid passport to travel with? * Yes No Do you have Israeli citizenship? * Yes No How many times have you visited Israel before? * 1-2 times 3-5 times 6-9 times 10+ times I currently live in Israel I have lived in Israel in the past I have never been to Israel Have you been involved in any programs focused on Israel in the past? * Yes No If "yes," please list which organizations here Why are you interested in participating in the Connect Israel program? * How do you see your unique skills or perspective contributing to the Connect Israel community? * What specifically draws you to Israel, and what aspects of Israeli society, culture, or history are you most interested in exploring further? * How did you hear about us? * Current Fellow Word of Mouth Social Media Search Engine Email Marketing Event or Conference Other Eligibility * I certify that my answers on this application are true and complete to the best of my knowledge, and that I meet all the requirements set out by the Connect Israel program eligibility guidelines. I will be able to commit to the Connect Israel program beyond the annual trip. Unless otherwise noted, I will be responsible for the airfare costs during the annual trip component of the program. If this application leads to my selection for the Connect Israel program, I understand that false or misleading information in my application or interview may result in my release. If your application is selected to proceed to the next round, you will be contacted to schedule an in-person interview with a Connect Israel program representative. First Name Last Name Date MM DD YYYY Basic Information Career & Relationship to Israel Why Connect Israel