3 Easy Steps to Apply to Snorkel & Study!

1

Complete the application below.*

2

Fill in the name, number and email address of the person writing your letter of recommendation.

3

Pay your $50 application fee and you're on your way to a life-changing experience!

Make sure to set aside ample time to provide thoughtful answers to the application questions. If you need extra time, just click on "Save my progress and resume later."

When you submit your application, you'll be directed to pay your application fee and an email confirmation will be sent to you. We will contact the person writing your recommendation.

If you have any questions, contact us at students@snorkelandstudy.com

* If you are in the process of conversion, you must supply a rabbinic contact.

Snorkel & Study Application

Save my progress and resume later | Resume a previously saved form

Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Your Email:

A Password:

Confirm Password:

Password must contain the following:

12 Characters
1 Uppercase letter
1 Lowercase letter
1 Number
1 Special character

Page 1

First Name

Last Name

What is your nickname? (If it's the same as your first name, please type your first name into the field below. Example: "Sarah")

Contact Information

Cell Phone

Email Address

Permanent Address

Street

City

U.S. State

Postal Code

Country

State/Province if outside of the United States

How or where did you hear about Snorkel & Study? Check all that apply.

Friend Family Chabad House on Campus Facebook Online Search National Campus Shabbaton in NYC Israel Links Sinai Scholars/JLI I’m a Bais Chana/Un-Camp/Snorkel Alum! Other

Family/Friend Who Introduced you to Snorkel & Study

Referral First Name

Referral Last Name

Referral Phone

Referral Email

Add another referral name?

Yes, please

Ref 2 First Name

Ref 2 Last Name

Ref 2 Phone

Ref 2 Email

If other, please explain

Page 2

School Information

Full Name of School (If you don't see your school listed, choose "other" from the list below)

Other - School Name

Major

Year In School

Address While In School

Street

City

U.S. State

Postal Code

Country

State/Province if outside of the United States

Do you want to be considered for a scholarship?

Are you applying for a work-study position? (You are only eligible if you are a Snorkel & Study or Sun & Study alum)

Recommendation Information

Who is writing you letter of recommendation?

Please enter the number and email address of your reference. We will send a request for your letter of recommendation directly to this person.

Reference First Name

Reference Last Name

Relationship to you

***IMPORTANT: DON'T PUT IN YOUR OWN EMAIL ADDRESS OR NUMBER BELOW***
If you don't know the email address of your reference take a moment to contact them now to ask

Phone

Page 3

Help us get to know you

What are your hobbies, interests, clubs, volunteer experiences?

What is your previous Jewish education, if any, ex: Hebrew School, classes or Shabbat at Chabad, etc

How would you rate your Hebrew on a scale of 0-10, where 10 is most proficient.

Write two to three paragraphs about 1, your most memorable Jewish experience; OR 2, an individual you know who represents Judaism or Jewish values

Write one to two paragraphs describing what you hope to gain by attending.

Is there anything else you want us to know about you?

Facebook name?

Date of Birth (mm/dd/yyyy)

mm/dd/yyyy

Are you converting to Judaism?

If you are converting, what is the name of your Rabbinic contact?

Phone of Rabbinic contact

Hebrew name, if known

Mother's Hebrew Name, If Known

Page 4

Medical Information

Do you have any medical, dietary, or other needs?

Please list any medications you’ll be taking during the trip. If there are none write none.

Do you have any allergies, including penicillin?

Emergency Contact Information

Emergency Name

Emergency Phone

Emergency Email

Relationship to you

Have you ever attended Snorkel & Study?

Work/Study plans are available for alum only. When you receive your email acceptance you'll be able to select your Work/Study plan, which will include a work commitment and fee.

I give permission to Snorkel & Study (and its sponsoring organization, Bais Chana Women International) to use photos, written quotes, audio or video of me in their promotional materials and for other non-profit purposes.

Page 5

When you click submit, you can review your responses then proceed to pay your $50 application fee. Your application is not complete until the application fee is paid.

Thanks!

Would you like to make a donation to Snorkel & Study?

Donation Amount

Total to be Paid Now

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