REGISTRATION
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Please fill out the IAS form below .Â
Applicants applying through Jewishorganizations should also fill out the Masa form (see link down page)
*Full Name :
*Date of Birth:
Address:
Phone:
Another phone number:
E-mail:
How did you hear about the program?
Arabic Knowledge (5=Excellent)
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2
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4
5
Hebrew Knowledge (5=Excellent)
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2
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4
5
Comments :
Curriculum Vitae (CV)
Jessica Suckerman
Kibbutz program center
Tel : 2124622764Â
mail@KibbutzProgramCenter.org