Recruit 10 (that's right, only 10!) participants for one session of Taglit-Birthright Israel: MAYANOT trips and win a free trip back to Israel! See recruiting guidelines for more info.

First Name Last Name
Date Of Birth Gender
Are you currently a student Which school
Email (must be a non.edu account) Email 2
Phone Cell
Address City
State: Zip
Are you Jewish? Which of your parents are Jewish
I consider myself: Are there any conversions in your immediate family?
Have you been on Taglit-Birthright Israel trip?
If yes, which provider did you come with?
Season I am interested in recruiting for:
I will be recruiting for:
Should you be chosen to join a Mayanot trip this upcoming season which dates would you be available to travel? (Please ignore the number following each date. All you need to do is choose all the dates you can travel.)
Have you previously staffed a Taglit - Birthright Israel Program?
If yes, which provider did you staff with?
How many times have you previously been to Israel:
Please indicate the context of your previous Israel Trips:
If other:
Please indicate theoretical or practical experience you have had in areas working with young people:
If other:
Please indicate Basic Jewish / Israel related education you have as evidenced by:
If other:
What is your level of Hebrew?
Are you in a fraternity/sorority?
Which one:
Are you a photographer/videographer/journalist?
Please write one paragraph to explain why you believe you are qualified to lead a Taglit - Birthright Israel trip: (minimum 300 characters)
Do you agree to the Recruiter Guidelines
How did you hear about this opportunity?
Your Recruiter Code: Please enter your cell phone number. This is your personal recruiter code which people should use to sign up under your name.

Only those applications with your complete cell phone number and name in the Referral Code field (on the Date Request Form of the MAYANOT application) will be counted towards your total.
Please enter your facebook link:
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