Date (mm/dd/yyyy)*

Name of Student Applying*

Street Address*

City/Town*

State*

Zip Code*

Student's Email*
Please use an email you regularly check.

Student's Phone*

Current Grade in School*

Name of School*

School Street Address*

School City*

School State*

School Zip*

Name of school leader who nominated you*

Email address of school leader who nominated you*

Parent/Guardian Name*

Parent/Guardian Address*

Parent/Guardian City/Town*

Parent/Guardian State*

Parent/Guardian Zip Code*

Parent/Guardian Email*

Parent/Guardian Phone*

Are you available to go on the trip to Israel from April 11-21, 2024
and participate in the pre-trip meetings?*
yesno

Does your parent/guardian know you are applying to the program?*
yesno

Why do you want to participate in SAIL?

Describe a time you demonstrated your leadership abilities.

What of yourself will you bring to the program?

Thank you for completing this application. Please click on SEND below.
You will be contacted about next steps.

Δ