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GET LOCATED

Find a synagogue near your campus or your home.

Visit the United Synagogue of Conservative Judaism
CLICK HERE

GRAB THE
STYLUS

Now's the time to mark your calendar with upcoming KOACH events
KOACH CALENDAR

 

Join KOACH for the experience of a lifetime!

Important note: Our 2003 trip was a great success (view photos). Registration for the 2004 trip will begin in August 2003. We'll announce registration via our e-mail list. Please don't complete this application unless instructed to do so.

Signing up is not a commitment to travel, either with KOACH or any other group. It's just the best way to make sure you have all the facts!

After you complete the form below, you'll receive instructions on how to register directly with birthright israel.

Your registration won't be processed until you have completed the form on this page AND completed the form on the official birthright israel page.

ALL FIELDS ARE REQUIRED
  PERSONAL INFO
First name:

Last name:

Date of Birth:
E-mail:
University (where applicable):
  HOME ADDRESS
Street:
City, State, ZIP:
Phone:
Home congregation:
Home rabbi's name:

  CAMPUS ADDRESS (where applicable)
Street:

City, State, ZIP:

Phone:

  ADDITIONAL INFO
Are both of your parents Jewish?                 

If not, please explain:
 


How did you hear about the KOACH birthright israel program?:
 

 

Questions or problems?

If you are experiencing problems with this form, send an e-mail to Rabbi Elyse Winick, KOACH Assistant Director, winick@uscj.org. See you in Jerusalem!

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KOACH College Outreach is a project of The United Synagogue of Conservative Judaism.
Questions or comments about this website should be directed to webmaster@koach.org.

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