LivingLinks Application Winter 2022 & Spring 2023
Apply for one of our upcoming LivingLinks trips. Select your preferred date below. Please note: All trips depart from NYC unless otherwise noted.
*
March 12 - 19, 2023
March 19 - 26, 2023
Student Information
Full Name
*
First Name
Last Name
Email
*
example@example.com
Cell Phone Number
*
Gender
*
Female
Male
Date of Birth
*
-
Month
-
Day
Year
Date
University
*
Graduating Year
*
Please Select
2022
2023
2024
2025
2026
2027
Name of your Chabad Rabbi or Rebbetzin
*
Home State
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Have you previously participated in a trip to Poland?
*
Yes
No
Are you currently taking any medication?
*
Yes
No
If yes, please explain:
Are you currently seeing a psychologist or psychiatrist?
*
Yes
No
If yes, please explain:
*
Jewish Family Background
Mother
*
Born Jewish
Converted to Judaism
Other
Father
*
Born Jewish
Converted to Judaism
Other
Jewish Education (check all that apply)
*
Hebrew School
Summer Camp
Jewish Day School
Bar/Bat Mitzvah
Jewish High School
None of the above
How did you hear about the trip? (check all that apply)
*
Chabad Rabbi/Rebbetzin
Social Media
Friends and Family
Other
Please tell us about your current campus Jewish involvement:
*
In two paragraphs or more describe why you want to join this trip and what you hope to gain from it?
*
0/0
I agree to comply with all COVID guidelines at the time of the trip.
*
Yes
Is there anything else we should know about you or your application?
I understand that Chabad on Campus may contact me for my valuable feedback as a LivingLinks participant.
*
Confirm
I would like to receive information about Jewish post-graduate opportunities offered by Chabad on Campus funding partners.
*
Yes, please
No, thank you
Comments
Submit
Should be Empty: