Dorot Social Change in Israel Award Application

Welcome to the Dorot Foundation online application system.

To start a new application, please [ register ]

Instructions:

For convenience, the application is divided into several sections. Each section is automatically saved when you hit the "Next" or "Previous" button. You may go back and revise your answers at any time (until you submit your completed application).
Work at your own pace. Your application will not be submitted until you mark it complete. You may retrieve your work from a previous session by logging in below with your email address and the password you created.
When you are finished with your application, you may click the "Finish" tab to submit your completed application package. Before submission, you will be asked to confirm that your application is complete. Once submitted, you will not be able to make any further changes to your application.
Please have a copy of your grade transcript mailed from the Registrar’s Office to:

   Social Change in Israel Awards
   Dorot Foundation
   439 Benefit Street
   Providence, RI 02903

The completed application deadline is 5:00pm EST on February 15, 2008. All applicants will be notified whether they will receive an Award no later than April 30, 2008. The full amount of the Award ($5,000) will be paid by check prior to initiation of travel.

If you need additional help, please email rosea@dorot.org.

BASIC INFORMATION:

Email Address*
(This will be your login name)

Password*
minimum 6 chars, no spaces

Password (confirm)*

NAME

Title*
First Name*
MI
Last Name*
Suffix
Nickname

Mailing Address

Street Address*

City*
State/Province
Postal Code*

Country*

Permanent Address

City
State/Province
Postal Code

Country

TELEPHONE

1.*

*Required

Username:
Password: