Choose a session August 8 – 12, 2010 *

First Name *

Last Name *

Date of Birth *

Gender Male Female *

Name of College/University *

Anticipated Date of Graduation 2010 2011 2012 2013 2014

Permanent Mailing Address

City

State

ZIP

Current Mailing Address (if different from above)

City

State

ZIP

Cell Phone Number *

Alternate Phone Number

Email *

Have you ever been to Israel before? Yes No

Please describe your specific role(s) in Israel advocacy on your campus and/or in your community (Please include any information that you feel is important for us to know about your involvement including leadership positions and responsibilities, active club membership, internships relating to Israel, etc)

In three to four paragraphs, please explain the climate on your campus regarding Israel. What do you see as the most difficult challenges facing pro-Israel college students today?

As a David Project Campus Fellow, how do you intend to use the experiences you will gain at the seminar this summer to support Israel and engage in Israel advocacy on your campus?

Why do you support Israel?

Name

Relationship to applicant

E-mail address

Phone number

Reference letter