Form

Personal Information
Full Name
First Name Last Name

Current Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Mobile Phone Number
- Area Code Phone Number
Home Phone Number
- Area Code Phone Number
Profession
E-mail

Permanent Address (if different from above)

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Emergency Contact Information
Full Name
First Name Last Name
Relationship
Home Phone Number
- Area Code Phone Number
Mobile Phone Number
- Area Code Phone Number
Work Phone Number
- Area Code Phone Number
E-mail

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Essays

Please submit 2 essays: Essay #1 and Essay #2 (EITHER Option 1 OR Option 2)
Essay #1:

In a 750-1000 word cohesive essay please tell us why you want this fellowship, what in your life story has led you to doing this kind of work and why you would be a good candidate to receive this fellowship. Please also address what you would like to gain from and contribute to this experience, and what is/are the main challenge/s facing Israeli society on which you hope to work. (Note: We do not expect you to answer each question in individual paragraphs but rather to tell us your story while touching on these issues)
....
Essay #2:

Option 1: In 250-500 word essay please describe an instance in which you have taken initiative and overcome either personal or professional challenges that arose.

-- OR --

Option 2: You are 80 years old and a family member is producing a documentary about your life. Please ‘stage’ 4 scenes including past, present, and future ( 250-500 words ).
....
Please upload your resume with relevant education, employment history, volunteer work,
community service and/or social activism.
Resume
************

The goals of the NIF/SHATIL Social Justice Fellowship are three fold: to provide much needed assistance to Israeli NGO’s; to provide a meaningful Fellowship experience for highly qualified Fellows; and to grow the NIF family in the US. NIF/SHATIL’s goal in placing fellows in Israeli NGO’s is to help strengthen social change organizations in Israel. As such, the organizations rely on Fellows for tasks that are important to the organizations involved. We expect that all Fellows treat their responsibilities with the utmost seriousness and fulfill their responsibilities in the time and manner agreed upon.

Prior to departure to Israel, we ask Fellows to fundraise for NIF, setting their personal goal at a minimum of $1,000. We ask Fellows to fundraise because we believe that social change doesn’t happen without fundraising, and thus building one’s fundraising capacity–letting people know about your work and knowing how to get them excited about it–is invaluable for people who want to create change. Engaging in pre-trip fundraising also offers a chance to for you to raise awareness about NIF and our issues among friends and family. The money raised allows us to sustain this important fellowship. We did not intend for you to go this alone: NIF will provide training and support for each fellow in developing a fundraising page and reaching out to one’s network.

During the fellowship year, Fellows are also expected to participate in Fellowship activities and remain in good standing for the full 10 months of the program. Additionally, when Fellows return from Israel, NIF will request that you make presentations on behalf of NIF and SHATIL in the US.

Upon commencement of the fellowship year, Fellows will sign a 3-way memorandum of understanding (MOU) between the Fellow, the Social Justice Fellowship coordinator in Israel, and the supervisor at each Fellow’s respective place of internship. The MOU will detail each party’s responsibilities and expectations.

************
Please type your name below to acknowledge that you have read the above, and agree to the provisions. If accepted to the SJF, you agree to carry out your responsibilities with the utmost seriousness.
Full Name
First Name Last Name
Date
Month Day Year
Should be Empty:

	Speaking	Reading	Writing
Excellent
Good
Fair
Poor

Personal Information

Emergency Contact Information

Languages

Short Answer Questions

Essays