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Palestine Summer Encounter Registration


Please provide accurate, detailed responses to the questions below. The application should take you approximately 15 to 25 minutes to complete. Once you have completed this form, you will need to submit your $150 registration fee using the payments page. Until BOTH the form is submitted and the application fee is received, your application is considered incomplete.

Basic Information

(Note: please make sure the address you provide is your primary mailing address).

MobileHomeBusiness
Type of Phone
MobileHomeBusiness
Type of Phone

Please provide information on who should be contacted in case of emergency, please include their name, their phone number and any other relevant info.

Please check all that apply.

Travel Plans

(Note: airport pickup comes with an additional fee. Please see the Dates & Cost section of the website for more details).

Note: occasionally a participant prefers to live with an Arabic-only speaking family so that they can really practice their Arabic speaking skills. Occasionally participants prefer to live with a family of their own faith, or of another faith, for a wide variety of reasons. We will try to accommodate participant's preferences but we do NOT guarantee we can accommodate all requests.

Arabic

Check all that apply.

Volunteer Interests

The following questions will help us match you with an appropriate volunteer opportunity. Listed below are some types of volunteer activities our participants have historically been involved with. Please indicate your interest areas by selecting low interest, mild interest or high interest for each of the categories below. Please remember that no one is guaranteed any particular type of volunteer opportunity. We will, however, do our best to find a volunteer placement that matches your skills and interests.

Please list the name and contact information of a personal reference—preferably a current or former employer or a teacher/professor.

Please list the name and contact information of a personal reference—preferably a current or former employer or a teacher/professor.

Liability/Legal

I confirm that:

1. All information I have provided in the registration process is correct to the best of my knowledge.

2. I appreciate the risks inherent to travel within the Middle East, including the risk of discomfort, delay, inconvenience, changes to itinerary as well as physical and mental injury, disablement or death. I accept that Holy Land Trust/Middle East Fellowship reserves the right to change the itinerary without notice, if circumstances require.

3. I accept that neither Middle East Fellowship nor Holy Land Trust will be liable for loss of or damage to property, or for injury or death however arising.

4. I will maintain timetable and group decisions, particularly rendezvous times and places.

5. I will remain non-violent, both in speech and in actions, throughout my entire time spent in the Middle East.

6. I accept that Middle East Fellowship, Holy Land Trust and its agents reserve the right to remove individuals from the program whose behavior, in the sole opinion of our staff, puts themselves or anyone in danger. I accept that I will be removed from the program if I participate in any activity that Holy Land Trust or Middle East Fellowship and its agents deems culturally inappropriate for the Middle East. Reasons for removing participants from the program include, but are not limited to:

a) Illegal activities on the part of participants
b) failure to adhere to Holy Land Trust/Middle East Fellowship instructions or guidelines
c) alcohol intoxication or drug use
d) cultural insensitivity
e) departure from Israel and Palestine during the program without permission (i.e. taking a trip to Jordan or Egypt during the program without our explicit consent)

7. As long as I am a participant in the Palestine Summer Encounter program I will not travel outside the country without the express permission of Holy Land Trust. Permission will be given to those who need to leave the country in order to obtain a visa extension.

8. I understand that trying to conduct and plan a program under a military occupation is extremely difficult and I will not hold Holy Land Trust or Middle East Fellowship or its agents responsible for any difficulties in my travel plans that may arise because of my participation in this program or decision to visit the Occupied Territories.

9. I understand and accept that Middle East Fellowship and Holy Land Trust reserves the right to use photos taken during the Palestine summer encounter with my image and likeness in any official Palestine Summer Encounter promotional material.

10. I accept that my entry and exit strategy is my decision and I am responsible for the consequences of my entry and exit strategy. I will not hold Holy Land Trust or Middle East Fellowship and any of its agents responsible for any negative consequences that may occur from their recommended entry or exit strategy.

11. I understand that payment for the trip is only partially refundable. Cancellation will result in the loss of the registration fee and flight cost. In addition, if cancellation occurs less than 60 days before the official start date of trip, participants will be liable for a $200 cancellation fee. If cancellation occurs after the start of a program, no refund will be available. If Holy Land Trust or Middle East Fellowship is forced to cancel a trip for any reason, all payments will be refunded to participant with the exception of the registration and any flight costs.

12. I understand that full payment is due two weeks prior to departure and that failure to pay on time will result in cancellation of participation and loss of registration fee.

13. I understand that because I will be traveling and staying in Israel and the Occupied Territories I may be questioned extensively, searched, and maybe refused entry. I will not hold Holy Land Trust or Middle East Fellowship and any of its agents responsible if this occurs.

14) I understand that Middle East Fellowship and Holy Land Trust reserve the right to deny any application form submitted. I further understand that applications received after the registration deadline will be considered on a case-by-case basis only and may be charged a late fee.

15) I agree to dress modestly and appropriately at all times.

If you agree to all of the terms and conditions listed above, please type the words "I agree" in the field below. Your application will not be considered complete until you have agreed to the terms and conditions above.