Junior Tafkid Application Form

Email address*

Name*

First Last

Gender*

Shevet (or if not known year group)*

Mobile Number*

Address*

Street Address ZIP / Postal Code Country

Do you have a current DBS?*

What is your DBS number?*

You will need a valid DBS before taking Machane. Please contact Rafi Cohen at [email protected] to arrange this.

Do you have Mas Chaver 5779? (you must have Mas Chaver 5779 to take Summer Machane)*

Give a summary of your involvement with Bnei Akiva to date*

What are you doing this year?*

Why do you want to be involved in Bnei Akiva Machane?*

Which Tafkid would be your first choice?*

Which Tafkid would be your second choice?*

Which Tafkid would be your third choice?*

Are you in Shevet Tzion?

If yes, you will need to submit your passport details below in order to be considered for a Tafkid on Bet Chalutzi

Name on Passport*

Passport Number*

Nationality*

Date of Issue*

Date of Expiry*

Copy of Applicant's Passport*

Please upload a copy of the photo page of the applicants passport, to include photo and information.

Do you have dual nationality?*

Which Country*

Medical Details