Oorah Israel Gap Year Scholarships

$75 bus fee must be prepaid here in advance by credit card. Payment is non-refundable.

Rosh Hashana Event - Girls Only - Sep. 11-Sep. 13

Sukkos First Days - DU and Teens Girls - Sep. 25-Sep. 27

Simchas Torah - Boys only - Oct. 2-Oct. 4

Participant

Staff

First Name

Last Name

Gender

Date of Birth

Home Address

City

State

Zip

Country

Cell Phone

Sweater size (runs small)

Select Bus Departure Location or Private Transportation

Please provide us with 2 references who know you well, such as a Rabbi, Mentor, Advisor, or Teacher. References cannot be relatives.

Reference 1

Name

Number/Email

Reference 2

Name

Number/Email

Credit Card Information

Name on Card

Card Number*

Invalid credit card number.

Expiration

Please provide a valid expiration date.

CVV*

Invalid CVC.