YEHUDI Fellowships: Campus Leadership Mission-Registration YEHUDI Campus Fellowships Israel Volunteer-2025 Name(Required) First Last Email(Required) Phone(Required)Address(Required) Street Address City State / Province / Region ZIP / Postal Code D.O.B.(Required) MM slash DD slash YYYY Legal Name as it appears on your passport(Required)Passport Number(Required)Passport Nationality(Required)Please upload a clear picture of your passport(Required)Max. file size: 100 MB. Emergency contact:(Required)Please provide: Name, Phone #, Email and Relationship to you.Parent's contact:(Required)Please provide: Name, Phone #, Email and Relationship to you.Do you have any allergies or dietary restrictions? Please list.Do you have any medical conditions or are you taking any medication that YEHUDI should be aware of before traveling? If the answer is "No" please type "No"(Required)What size T-shirt/Sweatshirt can we order for you?(Required) XS S M L XL XXL Fellowships(Required) I understand and agree to the statement belowThis Israel trip is part of a YEHUDI Fellowship program. Participation in the entire Fellowship program including 10 pre-trip learning sessions and a shabbaton are required. The special YEHUDI price for this program is $299. $599 must be paid to Birthright up front. You receive a $300 refund only upon completion of the entire Fellowship program. Olami(Required) I understand and agree to the statement belowYEHUDI receives some funding from Olami. With programs in over 30 countries, Olami and its funding partners sometimes use independent verification firms to assure that programs are attended and impactful. By registering, I understand that I may be contacted by a verification firm for quality control purposesMosaic(Required) I understand and agree to the statement belowOlami is partially funded by Mosaic United. I understand that I may be contacted regarding future Mosaic sponsored -opportunitiesFlights(Required) I understand and agree to the statement belowFlights will be booked directly by Birthright. Any flight changes must be made directly through the Birthright app and the participant is responsible for any flight change costs that may be incurred.Birthright(Required)This trip is being run in partnership with Birthright and Israel Missions. In addition to this form, you must also fill out the the Birthright application that was included in your acceptance email as well as submit the below documents to Birthright. Please click below to confirm that you have filled out the Birthright Application and paid. I have filled out the Birthright registration form and paid I will submit the Birthright medical form within the next week I will fill out the Israel entry form