Join the “Adopt an Oleh” Program as an Oleh

Thank you for your interest in KeepOlim’s “Adopt an Oleh” Program!

In order to facilitate our efforts of matching you with a suitable Israeli Buddy, we kindly ask you to fill this short form. When you are done, please click ‘Submit Application’.

Basics first

Your Name:

ID/Teudat Zehut:

Sex:

Address:

Region:

Age:

Marital status:

Do you have any children under 18?

If so, how many and what are their ages and sexes?

Phone Number:

Your Email:

Israel and You

Date of Aliyah:

What is your country of origin?

What is your mother tongue?

How would you describe your ability to have a conversation in Hebrew?

What other languages do you speak? For each language, please state your fluency level:

Do you have family in Israel?

If you do have family here, how close are you?

Let’s Get Personal

Education:

Education Subject:

What is your profession?:

What are your hobbies/areas of interest?

Religious views:

If you belong to the LGBT Community and would prefer a LGBT friend please indicate here:

Do you have any disabilities we should know about (if yes, which)?

Last But Not Least

What are you seeking by asking to join the “Adopt an Oleh” Program?

By filling this form, who is asking to join the “Adopt an Oleh” Program?

By asking to join the “Adopt an Oleh” Program, you understand that it entails having continuous and unsupervised contact with one or more of our volunteers. You hereby declare that you will keep confidential any personal information about our volunteers which may come to your knowledge, including names, addresses and phone numbers, and that you will not abuse this information in any way (including by way of harassment, giving out information to third parties etc.). You also acknowledge that KeepOlim is not and will not be responsible for the actions of the volunteers, and accordingly will not bear responsibility for any kind of damage resulting from your participation in the “Adopt an Oleh” Program. Finally, you agree that information provided by you will be stored in an internal database used for administering volunteer activity, and you acknowledge that this information may be used in a general and unidentified manner for statistical purposes only.