Application Form


Fill out the form below to be considered for the Write On For Israel program.


Name *
Phone *
Address *
Parent's Contact Information
Parent 1 Phone *
Parent 1 Phone
Parent 2 Phone *
Parent 2 Phone
School Information
One should be an academic reference, and one a personal reference. If you have reference letters, you can send them to
Reference 1 *
Reference 1
Reference 2 *
Reference 2
In addition to the above, applicants must write two essays of 500 words each on two of the topics below. Please send the essay separately in an email to 1) What Israel means to me. 2) Why I want to be an advocate for Israel on campus. 3) Students for Justice in Palestine have started a campaign on campus to boycott Israeli food products. Make the case for why boycotts are damaging and not effective for promoting peace. 4) Describe a situation in which you were confronted by an anti-Israel demonstrator or someone critical of Israel and how you responded. 5) The media is biased against Israel. Do you agree or disagree? 6) Why I want to be accepted into the Write On For Israel/NY program.