SASI Application - Telfed

SASI 2021/2022

Step 1 of 7

PERSONAL INFORMATION
Full name*
First Last
Gender*
Date of Birth*
Date Format: DD slash MM slash YYYY
Country of Birth*
City of Birth*
South African Passport Number*
Do you have Israeli Citizenship*
Teudat Zehut*
Israeli ID number

CONTACT INFORMATION
Email*
South African Mobile Number*
South African Landline Number*
South African Address*
Street Address Address Line 2 City ZIP / Postal Code Country
Do you currently reside in Israel?*
Israeli Mobile Number*
Israeli address
Address line*
City*
Postal code*

ACADEMIC INFORMATION
Name of High School*
Name of Israeli Academic Institution to which you have applied*
Have you received acceptance to an Israeli Academic Institution*
Level of Degree*
Discipline 1*
Select the name of your degree
Discipline 2
Name of Degree*
Have you completed a Degree/Diploma?*
Previous Degree/Diploma*

GENERAL INFORMATION
Level of spoken Hebrew*
Level of Hebrew reading and writing*
Did you participate in a Youth Movement?*
Which Youth Movement did you participate in?*
How did you hear about SASI?*

FAMILY INFORMATION
Father's Name*
First Last
Mother's Name*
First Last Maiden name
Father's Date of Birth*
Date Format: DD slash MM slash YYYY
Mother's Date of Birth*
Date Format: DD slash MM slash YYYY
Father's Marital Status*
Mother's Marital Status*
Father's Address*
Street Address Address Line 2 City ZIP / Postal Code Country
Mother's Address*
Street Address Address Line 2 City ZIP / Postal Code Country
Father's Country of Birth*
Mother's Country of Birth*
Father's Occupation*
Father's Employer*
Mother's Occupation*
Mother's Employer*
Number of family members*
Number of children under 21*

ADDITIONAL INFORMATION
Personal letter*
Accepted file types: pdf, doc, docx.
Please state why you wish to take part in a volunteering programme and include past experience in volunteering (if you have any).
First letter of recommendation*
Accepted file types: pdf, doc, docx.
Please attach 2 letters of recommendation (e.g. from your Rabbi, Youth Movement Counsellor, Teacher, Sport’s Coach)
Second letter of recommendation*
Accepted file types: pdf, doc, docx.
Please attach 2 letters of recommendation (e.g. from your Rabbi, Youth Movement Counsellor, Teacher, Sport’s Coach)

Consent*
The information submitted is true to the best of my knowledge.
Applicant's Name*
First Last
Date*
Date Format: DD slash MM slash YYYY