Masa Application Form  
Please ensure that your answers are in English
2013-2014 Masa Grant & Scholarship Application (step 3 of 5)
* 1. How did you hear about Masa Israel?
* Name
* 2. Have you ever been to Israel ?
* 3. Do you (or either of your parents or both) belong to a synagogue?
* a) What is your (or their) synagogue affiliation?
* 4. What is the main form of Jewish schooling you received before the age of 13?
* 5. Have you ever participated in or attended any of the following? (check all that apply)

* 6. Do you have a brother or sister who has ever been to Israel?
* 7. Do you have any close friends who have ever been to Israel?
* 8. How well, if at all, can you understand spoken Hebrew?
* 9. What language/s do you speak at home?  
* a) First / Primary spoken language
* b) Secondary spoken language
  * mandatory fields