UJIA Israel Experience Initial Application Form

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As you move through the pages of the form, it may skip certain page numbers. This is because not all pages will be required for all Applicants.
Programme Participant Details
as it appears/will appear on passport
as it appears/will appear on passport
as it appears/will appear on passport
if different to the name on your passport
Parent/Guardian #1 Contact Details
I confirm
This is the email address and phone number that will be the main point of contact for the Youth Movement/Organisation. Generally, it should be the email address and phone number of the Parent/Guardian who will be contactable throughout the year and during Israel Tour
Parent/Guardian #2 Contact Details
I confirm
Participant Address Information






This is for research and programme management purposes. Your Youth Movement/Organisation may contact your school or synagogue for a personal reference. Some Youth Movements may prioritise places for members of specific synagogues/streams of Judaism. For more information, please contact your Youth Movement/Organisation directly.


This is for research and programme management purposes. Your Youth Movement/Organisation may contact your school or shul for a personal reference. 

School & Synagogue




School & Shul



The Applicant's preferred Stream of Judaism


Bnei Akiva and Mizrachi UK Machane Yehudi
CTeen or Chabad Affiliation
Please Note: CTeen tour participants are expected to be or become members or affiliates of a CTeen or Chabad branch.

REDEFINE YOUR TRIP WITH OUR NEW AND IMPROVED TRACK CHOICES

You can choose between our Chayeinu and Artzeinu tracks to personalise your experience in Israel. Whether you like culture and society or prefer the great outdoors - you have the opportunity to pick the track best suited to you!

On Chayeinu you will experience the culture and society of Israeli life

On Artzeinu you will experience the history and geography of the land of Israel


For more details on each track please go to bauk.org/israel-machane and have a look at our brochure!

NO TRACKS CHANGES CAN BE MADE AFTER MONDAY 17TH FEBRUARY 2020.

We will endeavour to give applicants their preferred option however we can make no guarantees.

Please have in mind your friend choices when selecting your preferred track.

UJIA Financial Assistance

UJIA Israel Experience and the Youth Movements/Organisations who run Israel Tour are committed to financial inclusion wherever possible, and offer the opportunity to apply for bursaries and payment by instalments for families who are unable to meet the costs of the Programme or require more time to pay.
The deadline for applications is Monday, January 30th 2023 (unless otherwise directed by your Youth Movement/Organisation - please check the relevant literature). However, we strongly recommend that anyone looking to apply for financial assistance should complete the form and submit it as soon as possible. We deal with applications on a first come, first served basis, therefore if you do not apply before the deadline, we cannot guarantee that there will be funds available. You can also contact your Youth Movement/Organisation directly for more information.
Terms and Conditions of this Submission

Next Steps

 

Completion of Form I and Form II does not constitute a booking, rather it is an application.

 

The Youth Movement/Organisation will review your application and assess it in line with their selection and criteria policies. You will hear from them directly in due course as to whether you are invited to further your application by completing “Form 2” which has detailed questions regarding the Applicant’s background and needs (i.e., medical, welfare etc).

 

You will be required to complete “Form 2” of the Programme by the deadline specified by the Youth Movement/Organisation.

 

If you fail to complete “Form 2”, or fail to provide subsequent information requested of you, and/or fail to pay the balance as required, the Organisers reserve the right to cancel your Application and it will be considered that you have cancelled your Application and you will be liable under the terms of the Cancellation Policy.

 

Financial Assistance

 

Financial Assistance is available through UJIA and your Youth Movement/Organisation and is awarded jointly as a combined offer through your Youth Movement/Organisation. Applications are made using the online financial assistance application form which you will receive when being invited to complete “Form 2" and/or request from your Youth Movement/Organisation.

 

The deadline for financial assistance applications is Monday, January 30th 2023 (unless otherwise directed by your Youth Movement/Organisation – please check the relevant literature).

 

If you apply for financial assistance and are unsuccessful in achieving the funding you require for a place on the Programme, and subsequently cancel your application, you will be entitled to a full refund of any payment made.

 

Privacy Policy

 

By submitting this form, the Applicant or Parent/Guardian (if Applicant is under 18) consents to and agrees that the Applicant’s personal data including medical data may be processed and shared in accordance with the General Data Protection Regulation (“GDPR”) for the following purposes:

• In the case of emergencies, disclosed to third parties (including emergency services, aircraft assistants, medical teams and governmental or regulatory bodies in the UK, Europe and/or Israel (e.g. UK Foreign Office or equivalent body));

• For dealing with any legal matters which may occur (e.g. sharing information with lawyers and insurance companies);

• For the provisioning of insurance cover in respect of the Programme to the insurance company either in the UK, Europe or Israel;

• To assess the Applicant's suitability for the Programme and the activities it entails;

• By The Organisers, UJIA and Reshet, the Network for Jewish Youth Provision, in relation to medical or welfare support if required;

• For general administration of the Programme including flights and billing for example;

• To conduct anonymised statistical research using elements of the Applicant’s data such as demographic data for the purposes of research and improving the programmes for the future;

• In assisting UJIA Israel Experience crisis management team that are on standby to deal with any issues that may arise whilst the Participant is participating in the Programme;

•For any other safeguarding, medical or legal issue that The Organisers deem to be reasonable. 

 

With specific regard to religious information, The Organisers may process and share the religious information provided by the Applicant in the Application Form for the purposes of: 

 

• Placing the Applicant in suitable accommodation.

• Anonymised statistical research. 

• Any other social or welfare issues that The Organisers deem to be reasonable.

 

In accordance with the GDPR, all data is stored on secure servers, and we maintain a strict access policy on a needs-only basis. UJIA Israel Experience, UJIA and the Youth Movement/Organisation are joint Data Owners and of the data submitted for the Programme. The Organisers are joint Data Controllers of the data submitted for the Programme. You have the right to request information we hold about you. If you wish to make an enquiry, please contact the Data Controller at either UJIA or the Youth Movement/Organisation via the general enquiries contact information.

 

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By submitting this form, the Applicant or Parent/Guardian (if Applicant is under 18) confirms that they have read the information in the Frequently Asked Questions and agree to the cancellation policy found within the Frequently Asked Questions

Deposit


We are aware that a number of parents/guardians have had issues processing their deposit payments. Whilst we work on the issue, you can submit this form without making a deposit payment and your Youth Movement or Organisation will contact you after your application has been received to take a deposit. 

Please be aware that to proceed to the next stage in your application you will be required to make a deposit payment. Your initial application will not proceed further until this payment is made. 
In the event of the Programme being oversubscribed and/or your Application not being accepted, your deposit will be refunded. For all price information please refer to the relevant marketing material from your Youth Movement or Organisation.

In order to process your Application, we require payment of a deposit. In the event of the Programme being oversubscribed and/or your Application not being accepted, your deposit will be refunded.

For all price information please refer to the relevant marketing material from your Youth Movement or Organisation. 

If you intend to apply for Financial Assistance, you still need to pay a deposit now.

Please add an additional £53 for Mas Chaver (membership) for 5778 which runs from September 2017 – August 2018 to the price of the deposit, if you have not paid this already).

If you intend to apply for Financial Assistance, you still need to pay a deposit now. Those applying for Financial Assistance can pay a reduced deposit at this stage. We require a minimum deposit payment of £100 to process this application.

In the event that your Financial Assistance application is not successful, and you are unable to proceed, your deposit will be refunded in full.

If you are unable to pay the full deposit at this stage, please contact youth Youth Movement/Organisation directly to discuss.
Payment Info
Quantity
BBYO Strip
Bnei Akiva Stripe
Chazon Strip
Ezra Strip
JLGB Strip
NETZER LJY Strip
Netzer RSY Stripe
HABONIM DROR Strip
BBYO TEST Strip
FZY Strip
Sinai Strip
CTeen Strip
Noam Stripe