Atlanta Israel Gap year Fellowship Application 23-24

All Gap Year eligible programs are Masa approved and have been selected based on a variety of criteria. If you are interested in a program that is not listed, please contact Masa directly at Sherylk@masaisrael.org, or the program provider for information on scholarships. The application deadline is March 31, 2023.

Applicant Name(Required)

First Last

Age(Required)

Date of Birth(Required)

Gender(Required)

Pronouns(Required)

Name of high school(Required)

Please share a headshot here. We reserve the right to share this headshot should you join the fellowship.(Required)

Max. file size: 50 MB.

Please attach a current resume here.(Required)

Max. file size: 50 MB.

Please answer the following questions:

Question 1: Tell us about your Jewish journey (1000 characters or less)(Required)

Name of gap year program in which you plan to participate:(Required)

Question 2: Why do you want to go on a gap year in Israel and if you have already been accepted to a gap year program why did you choose this one?(1000 characters or less)(Required)

Question 3: Tell us about your relationship with Israel. (1000 characters or less)(Required)

Parent/Guardian Name(Required)

First Last

Applicant Address(Required)

Street Address Address Line 2 City State ZIP Code

Applicant Cell Phone(Required)

Parent/Guardian Cell Phone(Required)

Applicant Email(Required)

Parent/Guardian Email(Required)

Is there a second parent/guardian email you would like to include? Please add the email address below.

How did you hear about the Atlanta Israel Gap Year Fellowship? Check all that apply.(Required)

Social Media

Gap Year Concierge

From a Friend

At School

From ShinShinim

Other

If other, please indicate below how you heard about the fellowship.

Gap Year Program Information

Please complete the information below and attach a copy of your program acceptance letter. (If you have not yet received your acceptance letter, please submit it immediately upon receiving it.)

Have you been accepted to a gap year program?(Required)

Please attach program acceptance letter if you have received one. If you do not have an acceptance letter, please send that to us as soon as you receive it.

Max. file size: 50 MB.

If you have not yet selected a Gap Year program, are you interested in meeting with our expert to learn more about program options?

If you have decided where you will be attending college please let us know below.

Students planning to attend Seminaries, Stern College, or Yeshiva University are not eligible to be a part of the fellowship.

Jewish Community Involvement

Have you been to Israel?(Required)

What kind(s) of trip (synagogue trip, family trip, day school trip, teen summer trip, etc.) and what year(s)?(Required)

Have you attended a teen summer Israel trip?(Required)

Which one?(Required)

Please indicate which other teen Israel trip you attended below(Required)

Did you receive a Root One voucher?(Required)

Does your family belong to a synagogue?(Required)

Which one?(Required)

Tell us about your Jewish educational experiences. Check all that apply.(Required)

Jewish Preschool

Jewish Day School

Jewish High School

Religious School / Jewish Afterschool Program

Jewish Overnight Camp

Jewish Day Camp

Other

None

If other, please indicate below your educational experience.(Required)

Provide the name(s) of any schools, camps, or programs selected above.

Are you involved in a Jewish youth group or leadership program?(Required)

BBYO

USY

NFTY

CCC

Strong Women Fellowship

JSU

CTeen

Other

None

If other, what is the program you are involved in.(Required)

Please let us know about any additonal community or school involvement in the space below (i.e. student government, volunteer activities, sports, etc...) that is not reflected in your resume.

Service Subsidy

Are you applying for the additional $5,000 service subsidy?(Required)

If yes, what organization are you hoping to work for in the summer of 2024?(Required)

Why do you want to work at this organization?(Required)

What elements and experiences from your gap year are you hoping to bring with you to this organization?(Required)

We ask that service subsidy recipients host a gap year recruitment event during your summer placement. What might that look like for the organization where you plan to work or intern?(Required)

Additional Information

Annual Household Income: This Fellowship is not need based but you may be eligible for additional financial support from Masa. This information in only for data-gathering and will remain confidential.(Required)

Were you considering a gap year program before you were aware of the Atlanta Israel Gap Year Fellowship?(Required)

Please upload a letter of recommendation that addresses your leadership skills.

Max. file size: 50 MB.

Signatures

The information in this application is solely for the purpose of applying for the Atlanta Israel Gap Year Fellowship. To the best of our knowledge, the information in this application is true and complete.

Applicant(Required)

Parent or Guardian(Required)

Date(Required)

Atlanta Israel Gap Year Fellowship 2023-2024

Please answer the following questions:

Gap Year Program Information

Jewish Community Involvement

Service Subsidy

Additional Information

Signatures