- All fields marked with an asterisk (*) are required
- Form must be completed in one setting. If exited all data will be lost.
- Once you have submitted the form, you will receive a confirmation email with a copy of your submission.
- Please note that your text will be accepted only in ‘plain text’ format (no bold, colors, etc.)
Thank you for your interest in the “Amitim 2.0-Fellows” Program. Please fill out the form in English and as completely as you can.
All information is confidential and will be used for the sole purpose of the “Amitim 2.0-Fellows” Program.
If you have any questions, please contact Anna Michel, Program Director, via email: email@example.com or via phone: +972-2-625-1265 ex. 7
We thank you for your time and effort