Shinshinim Host Family Application

Thank you! for showing interest in hosting a ShinShin.

Hosting a young Israeli leader in your home is an exciting and fulfilling opportunity for the entire family. Past host families regard this as one of the most enriching experiences they have had. Hosting a ShinShin is a great opportunity and a big responsibility. It is also a wonderful contribution to our community. Here are some questions to consider in thinking about whether you are ready to host:
- Do you have a separate room with a door for the Shin Shin?
- Do you have school aged children at home on a full time basis?
- Do you live close to public transportation?
- How far are you from Jewish schools and synagogues?
- Are all members of your household ready to welcome a new member to the family?

The following questionnaire will serve us in the matching process.

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1. Family name (Required.)

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2. Parent 1 name (Required.)

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3. Parents 2 name (Required.)

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City/Town

State/Province

ZIP/Postal Code

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10. Your Jewish practices: (Required.)

Keep Kosher

Keep Sabbath (not all members of family)

Keep Sabbath (all members of family)

Go to synagogue during Sabbath

Other

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11. Members of a Congregation? If so, which one? (Required.)

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12. Do you have an open room for your Shinshin? (Required.)

Yes

Other (please specify)

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13. Does your home have any pets?

Yes

Other (please specify)

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14. How did you hear about this opportunity? (Required.)

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15. Contact info: (Required.)

Email Address

Phone Number

Shinshinim Host Family Application

Thank you! for showing interest in hosting a ShinShin.

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* 1. Family name (Required.)

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* 2. Parent 1 name (Required.)

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* 3. Parents 2 name (Required.)

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* 4. Number of children currently living with you on a full time basis. (Required.)

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* 5. Please provide information about your children currently living with you on a full time basis.Child 1: (Required.)

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* 6. Child 2:

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* 7. Child 3:

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* 8. Child 4:

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* 9. Address (Required.)

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* 10. Your Jewish practices: (Required.)

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* 11. Members of a Congregation? If so, which one? (Required.)

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* 12. Do you have an open room for your Shinshin? (Required.)

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* 13. Does your home have any pets?

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* 14. How did you hear about this opportunity? (Required.)

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* 15. Contact info: (Required.)

1. Family name (Required.)

2. Parent 1 name (Required.)

3. Parents 2 name (Required.)

4. Number of children currently living with you on a full time basis. (Required.)

5. Please provide information about your children currently living with you on a full time basis.
Child 1: (Required.)

6. Child 2:

7. Child 3:

8. Child 4:

9. Address (Required.)

10. Your Jewish practices: (Required.)

11. Members of a Congregation? If so, which one? (Required.)

12. Do you have an open room for your Shinshin? (Required.)

13. Does your home have any pets?

14. How did you hear about this opportunity? (Required.)

15. Contact info: (Required.)