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REGISTRATION FORM
Name of the school:
__________________________
Address: ____________________________________________
City:________________________ Country:_________________
Phone:____________________ Fax : ______________________
E-mail:_______________________
Name of the correspondent: _____________________________
Phone: _______________ Mobile: ______________________
E-mail:_______________________
Description of the school:
Kindergarten Primary school Secondary school
Private Recognized by the ministry Public
Number of pupils: ___________ only Jews Mixed
Registration form to project HASHAYARA for one month: _____
How many teachers will be concerned with pedagogical supports? _____
We wish to host one cadet(s) for a period:
from __/__/__ to __/__/__
or from __/__/__ to __/__/__
We need a training course specifically in those fields:
_______________________________________________
For those classes: __, __, __, __, __, __
Language prefer: ___________ ____________ ___________
Our institute will be responsible for the expenses of the cadet’s stay.
(room, full board and local transportations).
Date Signature of the correspondent:
______________ ______________________
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