APPLICATION FORM FOR THE MA IN EDUCATION, SPECIALIZING IN JEWISH EDUCATION

If you would like the form emailed to you, please let us know at info@universityinisrael.com. Please be sure you have all information on hand before starting, as you may not be able to return to it later. Remember to click submit when you complete the form. 

Applicant Information

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For the July-August 6-weeks in Israel, which, if any, of the below services, would you like to assist you with? (services charged separately) *
 

Emergency Contact

Academic Records - Undergraduate



Academic Records - Other


References


Reference 1
 
 
Reference 2

Language Proficiency

 *
 SpeakingReadingWriting
English
Hebrew
Other
Other

Medical Data

If yes, please indicate the condition and the implications for your studies and/or daily living, and provide a letter from your treating physician indicating details of your condition and treatment and implications for your study abroad experience in Israel.Your application will be considered regardless of any disability.
 
You'll need to have your physician complete and sign the Report of Medical Examination form. Please email us to receive this form. The completed form will need to be sent via postal mail to: Lirom Global Education - Study in Israel , Wiesmann 87, Kfar Saba 44363401. We will keep your medical forms private and only share it with Hebrew University Admissions department.

STATEMENT OF PURPOSE


Application Fee

 
To complete your application, please submit this form and then proceed to pay the application fee of US $250. Payment can be completed in the following options:
DIRECT BANK TRANSFER: Paypal to http://paypal.me/studyinisrael
Bank name: Bank of America  Make sure to add $9 Transaction fees.
Owner: Study in Israel LLC  
Account number: 385017363882 Credit Card through Paypal:
Connecticut, New Haven click Pay Now link at bottom of this page, and instead of logging in, choose pay by Credit card.
Swift code: BOFAUS3N
Wire transfer routing number: 026009593
 
Please send a screenshot or scan of the payment confirmation in JPEG, GIF, PNG, BMP. 

Declaration

The University reserves the right to take disciplinary action in connection with candidates who submit incorrect and/or fraudulent information.
 
By signing and submitting this form,  I waive my right to privacy regarding all financial, scholastic and/or academic documentation relevant to enrollment at the Hebrew University. I certify that all the information submitted is complete and correct, and I agree to abide by all the regulations of the Hebrew University for the duration of my studies.
Signature *
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