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Adamah Teen Israel Journey: Peacebuilding Through Environmental Leadership
Application Form
About You
First Name
Middle Name
Last Name
Email
Mobile Phone
Birth Year
Mailing Address
City
State
Zip Code
Country
Grade for the 2025-2026 school year
Please select...
9
10
11
12
Have you been to Israel before?
No
Yes
How many times? When was the last time? Please describe the trips you’ve been on.
Optional Demographic Questions
We strive to make our programs as diverse, equitable, and inclusive as possible. Knowing more about you helps us do that. We acknowledge that identity is complex and that your identity may not fit into these categories. The following questions are optional, but strongly encouraged.
How do you identify religiously?
Please select...
Jewish / Conservative
Jewish / Orthodox
Jewish / Reconstructionist
Jewish / Reform
Jewish / Renewal
Jewish / Secular
Jewish / Traditional Egalitarian
Just Jewish
Prefer to self-describe
Please describe how you identify religiously
What is your Jewish ethnicity?
Please select...
Ashkenazi
Mizrahi
Sephardi
Prefer to self-describe
Please describe your Jewish ethnicity
What is your gender identity?
Please select...
Man
Woman
Nonbinary
Genderqueer
Prefer to self-describe
Please describe your gender
Which of the following best describes you?
Please select...
American Indian or Alaska Native
Asian or Asian American
Black or African American
Hispanic or Latinx
Middle Eastern or North African
Native Hawaiian or Pacific Islander
White
Prefer to self-describe
Please describe how you identify racially
Personal Statement Questions
Please answer each of the following questions with 3-4 sentences.
What inspired you to apply for this environmental peacebuilding trip, and what do you hope to learn or contribute during the experience?
In your own words, what does ‘peacebuilding’ mean to you, and how do you think caring for the environment can help build peace between communities?
Describe a time when you worked with people who had different opinions, backgrounds, or beliefs from your own. What did you learn from that experience?
What environmental issue do you care about most, and what actions (big or small) have you taken to address it in your community?
Trips like this can be challenging as well as inspiring. How do you handle discomfort, change, or situations that push you out of your comfort zone?
A few more questions
Do you have any medical issues that we need to know about?
The trip involves physically demanding activities, including hiking and long walking tours. Do you have any accessibility needs or accommodations we should be aware of to support your participation?
By submitting this form, you consent to receive program-related emails. Would you like to be added to the general Adamah newsletter list?
Yes
Would you like to be added to the Jewish Youth Climate Movement newsletter list?
Yes
Optional Donation
Please consider a tax-deductible donation of any size to support Adamah NY's work.
Credit Card Information
Name on Card
Card Number
MM
YY
CVV
If selected, your passport must be
valid through at least January 31, 2027
. If necessary, we highly recommend that you do not wait for the acceptance letter to begin the renewal process.
Contact Information