Moishe House Without Walls Host Application

Thank you for your interest in becoming a MHWOW host! Please fill out the following application and contact with any questions. Thanks!
First Name *

Last Name *

Gender Pronoun *

Date of Birth (MHWOW is open to 22-32 year old Moishe House Resident Alumni, Moishe House Retreat Participants, and other members of select communities) *

Phone Number *

Please provide your current address

Street address *

City *

State *

Zip Code *

Country *

Select the host category that best describes you *

North America - everyone located in North America (including Russian-speaking)
International - everyone outside of North America (excluding Russian-speaking countries)
RSJ - everyone located in Russian-speaking countries

If you are an international host, what is your PayPal account?

skip if not international host
Are you a Moishe House Resident Alumni? *

Which house did you live in? and when? *

Have you attended a Moishe House Learning Retreat? *

What was the first learning retreat you attended? *

What was the date of your first learning retreat?

How many learning retreats have you attended in total?

Are you an alumni of one of these organizations?

If not, please skip this question

Which JDC Entwine program did you participate in?

What is your current occupation? *

Currently, which Jewish organizations are you involved with in your city if any? *

Why do you want to be a Moishe House Without Walls Host? *

What kind of community do you want to build with Moishe House Without Walls? *

Who are you? Tell us a little bit about yourself (both Jewishly and whatever else you want to add!) *

Example answer:
Jon Snow
-Born in Winterfell (The North)
-Attended UCLA for undergraduate studies with a Mathematics Economics major
-Currently working as Lord Commander of the Night's Watch
-Involved with Camp JCA Shalom as a camp counselor
-Former teacher at Temple Ahavat Shalom in Northridge, CA
-Traveled to King's Landing in 2014, Israel on Birthright in 2015
-Enjoys eating healthy, swordplay, and playing with my dog, Ghost
How did you hear about Moishe House? *

Please share their name if you were referred by someone or an organization.
Thank you for your application! 
You will be hearing back from Moishe House within the next 10 business days.
Got questions or need more information? E-mail us:
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