SLS JEWISH LITHUANIA 2010 Application Form

NOTE: This form is for applicants to SLS JEWISH LITHUANIA only. If you wish to attend the GENERAL PROGRAM, visit the application for general admission to SLS LITHUANIA. Thank you.


CONTACT INFORMATION

 
Full Name:

Email:

Gender: 

Male Female

Address where you can be reached through June 2010:
Work Phone:

Home Phone: 

FAX: 

Date of Birth: 

Country of Citizenship:

Occupation:

 

SEMINAR SELECTION

SLS Jewish Lithuania Program ONLY


HOUSING PREFERENCE*

Dorm (student residence hall)
Bed and Breakfast
Apartment
Hotel

*We will be in touch with you immediately in the event of any issues arising with your housing preference. We anticipate dorm (student residence hall) space to be limited and fill up most quickly, but there should be little problem in making arrangements for the other possibilities if you book in advance. Still, please remember that quality accommodation at the best prices can fill up rapidly in Vilnius for the summer months, and the sooner bookings are made, the more certain that your personal requirements can be met in full, and at the lowest possible cost.

PERSONAL INFORMATION

How did you hear about the SLS Jewish Lithuania Program?

Experience/interest in LITHUANIA, and/or with East European Jewish culture (prior study is not a prerequisite for the program):


 


Please Note: When pressing submit, please be patient. The form must be analyzed before transfer. Please hit the "Submit" button only once.