Name *
Name
Phone *
Phone
Shevet *
I would like to be considered for one of the following tafkidim: *
You may select more than one option (If applying to be a Rosh or Mazkir/a, priority will be given to those who also apply to be a Madrich/a at Snif)
Not a family member
Which Bnei Akiva programs have you attended this year? **If you have not attended any of these programs, please choose "other" and list "none"
How will you be spending your summer? *
I have read and agree to the tzevet guidelines and expectations *
See top of page for the link