Pardes Winter Break Registration

GENERAL INFORMATION

First Name

Middle Name

Last Name

Date of Birth (MM/DD/YYYY)

Country of Citizenship

I am:

Currently Residing in IsraelHere for a Year/Extended StayOn a Short-Term Visit

Name of program or other details

Currently Working as a Jewish Professional?

YesNo

Institution/Role

CONTACT INFORMATION

Mobile Number

Whatsapp number with country code (if relevant):

*for updates and scheduling during the program

Email Address:

Address Line 1:

Address Line 2:

City:

State/Province

ZIP Code:

Country

5. HIGHER EDUCATION

Please fill in this section if you are currently a student.

Name of Institution:

Enter school name if not found on drop down list:

Major/Field of Study:

Enter major field of study if not listed:

Start Date MM/DD/YYYY:

End Date MM/DD/YYYY:

STUDY BACKGROUND

Please rate your prior knowledge in the following areas. Please note that this program is open to learners of all levels.

Prior Experience with Torah/Tanakh:

BeginnerSome background (<1 year)Intermediate (>1 year)Advanced

Prior Experience with Talmud:

BeginnerSome background (<1 year)Intermediate (>1 year)Advanced

HEALTH

General Health: If you have a special need/health concern, be it physical or psychological, that may affect your in-person participation, please share below.

Dietary Preferences: Please let us know about your dietary restrictions. All food served at Pardes is vegetarian.

Gluten freeDairy FreeVeganOther

Please describe your dietary need(s):