Application Form Thank you for your interest in volunteering for SAR-EL and taking the time to fill this application out in full.Please don’t pay the registration fee before your forms have been examined by the representative.Please note that prior to filling out this application form, you will need electronic copies of the following to upload: A copy of your passport (Israeli citizens should provide a copy of their Teudat Zehut) A copy of your health insurance that demonstrates overseas coverage (Israeli citizens should provide a copy of their kupat cholim card) A signed and stamped copy of the medical waiver form (available by clicking button below: “Download copy of Medical Waiver”) Download copy of Medical Waiver Section 1 - Personal Information: First Name Last Name Date of Birth Sex Male Female Passport Number / If Israeli Citizen: Teudat Zehut Number: Country of Issuance Passport Date of Issue: Religion Jewish Non-Jewish Family Status Single Married Divorced Home Address City Country Zip Code Phone Number Email What Countries have you visiting in the last 5 years Occupation: Employer Name and Address: Emergency Contact Name: Telephone: Email: Section 2 -Volunteer Service: If you have volunteered previously, please provide most recent program date What is your first choice of dates: Second Choice: Third Choice: Please select what program you are choosing: One Week Two Week Three Week Hat Size S M L XL 2XL Shirt Size S M L XL 2XL Section 3 -Medical and Liability Waivers All volunteers should be prepared to live on an IDF base like a soldier and be prepared to work up to 8 hours a day in Middle East weather. Please contact us if you have any questions and please acceptance of all conditions by checking the boxes Below WAIVER AND RELEASE: Having been informed of risks inherent in the Program, I declare that I assume all risks involved in my participation in the Program and waive all claims of responsibility of Sar-El for any losses or damage except as may be caused by its gross negligence or willful misconduct. I expressly accept that Sar-El shall not be deemed responsible for transportation, accommodations, tour programs or other services while I am off the base to which I am assigned unless such off-base event is required by the Program. I agree to hold Sar-El exempt from any and all claims which may be brought against Sar-El on account of misconduct on my part. In participating in the Program, I verify that I have read and accepted these terms and conditions, and agree that they shall be binding on me. I have no criminal or police record. I also acknowledge that Sar-El assumes no financial liability for any aspect of my trip for any reason. MEDICAL WAIVER: I have been advised that the Program may call at times for vigorous exertion and physical effort and I will be living under spartan living conditions. I declare that I am in good physical condition and mental health, capable of participating in the Program, doing physical labor and that I have obtained the permission of my physician on a signed waiver. I understand and agree that I am responsible for any medical bills (including for doctors’ visits, hospitalization, and accidents) incurred while I am in the Program and any medical condition resulting from my participation. I acknowledge that Sar-El can end my participation in the Program for any health reason at its sole discretion. ASSUMPTION OF RISK AND WAIVER OF LIABILITY: Having been informed of risks inherent in the Program, I declare that I assume all risks involved in my participation in the Program and waive all claims of responsibility of Sar-El for any losses or damage except as may be caused by its gross negligence or willful misconduct. I expressly accept that Sar-El shall not be deemed responsible for transportation, accommodations, tour programs or other services while I am off the base to which I am assigned unless such off-base event is required by the Program. I agree to hold Sar-El exempt from any and all claims which may be brought against Sar-El on account of misconduct on my part. In participating in the Program, I verify that I have read and accept these terms and conditions, and agree that they shall be binding on me. I have no criminal or police record. I also acknowledge that Sar-El assumes no financial liability for any aspect of my trip for any reason. Please Attach A copy of your passport or Teudat Zehut Please Attach A copy of your health insurance that demonstrates overseas coverage Please Attach A signed and stamped copy of our medical waiver form Please note that by pressing the continue to pay button and paying your fee and submitting your application will be taken as your acceptance of all terms and conditions of the SAR-EL volunteers for Israel Program. We look forward to your support and volunteer service for Israel and for you to have a rewarding experience in our program Please do not book your airline tickets until you hear from us and confirm your program dates. Thanks again, SAR-EL Staff Continue to Payment Overseas Volunteers" Please do not purchase airline tickets until your application and accompanying documents have been received and approved and your acceptance into the program is subject to IDF review and approval.