VFI Special Project Request Form

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Please complete as much as you can. Any and all detail will be helpful!

Your information:
Last Name: First Name: Middle Initial:
Gender: DOB: Martial Status:
Religious Affiliation: Occupation:
Address: City: State:
Zip: Zip+4: Country:
Home Number: Cell Number:  
Email:
Valid US Passport: Country of Birth:  
Special Program Information:
When in Israel: To:
How much time to Volunteer:
Where Staying in Israel:
Desired Special Program:
Doing the VFI/Sar-El program:
Speak Hebrew:
Relevant Experience:
(what? where? when?)
Any Physical Limitation:
Additional Comments:
Submit your request:
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