ORT JUMP Year 12 Israel Challenge Application Form

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Personal Contact Details

Name

First Last

Pronouns (e.g. She/Her, He/Him, They/Them, etc)

Which school do you attend?

School Email Address

example@example.com

Date of Birth

DD-MM-YYYY

Phone Number

Address

Street Address Address Line 2 City ZIP / Postal Code

Parent / Guardian Contact Details

Name

First Last

Pronouns (e.g. She/Her, He/Him, They/Them, etc)

Parent / Guardian Email Address

Additional Information

Please complete this sections carefully.

Please write a personal statement/bio outlining who you are, your interests, aspirations, goals

Please outline any work experience or work skills you have to date. What skills do you consider to be your strongest? What skills would you like to develop?

There is a limit of 10 spaces for UK students on this programme. Why are you the ideal candidate? Please include any relevant skills/interests/hobbies/achievements.

Using this new fake word “Manshermenter” create a convincing definition of what it means in the world of social and community care. Please provide an example of it being used in a sentence. Type a question.

Is there anything else you want us to know about you that you have not included in your application?

Equipment – do you have access to the following equipment outside of school?

Tick all those that apply.

Laptop/PC

Webcam

Speakers and Microphone

Mobile Phone

Do you have any accessibility requirements you would like us to know about?

Reference

Please provide a reference for us to contact - this cannot be a family member.

Name

First Last

Email

example@example.com

Phone Number

How do you know them?