Immersive Application

Are you applying to the 2023 Fall Immersive or the 2024 Spring Immersive? *

Fall 2023 (Oct 8th 2023 - Feb 11th 2024) Spring 2024 (February - July) Let's discuss

Name as it appears on your passport:

Email *

What do you do? *

The Details:

Have you ever been to Israel before? *

Yes, I have lived in Israel or participated in a program that was longer than 2 months Yes, I have been with family and/or friends Yes, I have been on a program of less than 2 months No Other

Most of the program is conducted in English. Are you comfortable with that? *

Yes No Let's talk about it

We recognize that it can be difficult to share sensitive information around health and ability. We ask because it is extremely important that we are able to create the conditions that allow participants to thrive while on Achvat Amim.

Do you have any physical or learning challenges that you want to be in conversation about for housing, transportation, travel, communications, or other aspects of Achvat Amim? If yes, please explain *

Please tell us about any dietary restrictions or allergies. *

We believe that seeking therapeutic help is positive and want to support participants in setting up systems for wellness and mental health while on Achvat Amim. Please tell us about any relevant mental health challenges. What support systems would be helpful for you to have in place during Achvat Amim? *

Israeli law currently requires that visa recipients are vaccinated against COVID-19. We recognize that there are significant disparities in access to the vaccine and that this law exacerbates global inequalities.

Do you expect to be vaccinated by September 2023? *

Yes No Let's talk about it

Getting to Know You

This isn't a test. We are just interested in finding out more about you, your motivations, interests, etc. Try to keep your answers under 250 words.

Why do you want to join Achvat Amim? What do you hope to get from this experience? *

What do you think is the most exciting thing about Achvat Amim? What is the most challenging? *

Tell us about yourself! Feel free to include jobs, world records or funny stories. *

List some skills you have or are working on? —anything is relevant, from coding to poetry to cooking to anything else! *

What questions, concerns, thoughts or otherwise do you have? *

Final Details!

Please write the amounts of any scholarships you have, who they are from, and indicate whether the scholarship money will go directly to you or directly to the program. *

Professional Reference (First and Last Name) *

Relationship to Reference *

I have told this person to expect a call or email from Achvat Amim * *

Yes

How did you hear about us? *

Please specify. If you saw an ad online, where? If you heard from a friend, who? etc. *

Thank you for your application! If you have any questions or don't receive an email confirming that your application was submitted, please email our Outreach Director elly@achvatamim.org

Apply Here
5-Month Immersive

5-Month Immersive
Application Form
*Please note that the application does not always process properly on all mobile devices, it is best to use a laptop/PC.

Our Upcoming Cohorts:
October 8th 2023 - February 11th 2024
APPLICATION DEADLINE: June 15th, 2023
Spring 2024: February - July
ROLLING APPLICATION
*The earlier you apply, the more we can help you with financial need included applying for scholarships and accessing other funding sources.

The Basics

Name as it appears on your passport:

The Details:

Getting to Know You

Final Details!

Apply Here5-Month Immersive

5-Month ImmersiveApplication Form​*Please note that the application does not always process properly on all mobile devices, it is best to use a laptop/PC.

Our Upcoming Cohorts:October 8th 2023 - February 11th 2024APPLICATION DEADLINE: June 15th, 2023Spring 2024: February - JulyROLLING APPLICATION*The earlier you apply, the more we can help you with financial need included applying for scholarships and accessing other funding sources.

The Basics

Name as it appears on your passport: ​

​The Details:

​Getting to Know You

​Final Details!

Apply Here
5-Month Immersive

5-Month Immersive
Application Form
*Please note that the application does not always process properly on all mobile devices, it is best to use a laptop/PC.

Our Upcoming Cohorts:
October 8th 2023 - February 11th 2024
APPLICATION DEADLINE: June 15th, 2023
Spring 2024: February - July
ROLLING APPLICATION
*The earlier you apply, the more we can help you with financial need included applying for scholarships and accessing other funding sources.

Name as it appears on your passport:

The Details:

Getting to Know You

Final Details!