Thank you for your interest in the Bet Elazraki Summer Program 2015.



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Dear Applicant, Thank you for your interest in the Bet Elazraki Summer Program 2015. About Bet Elazraki: Bet Elazraki Children s Home is home to 241 children from birth to 18 years old. The children are removed from their own homes by the Ministry of Social Services, the court system or the police when they are in a life threatening or destructive environment. The children come from dysfunctional families and cannot be raised by their parents due to violence in the home, drug abuse, alcohol abuse, mental illness, abandonment and a combination of all of the above. Bet Elazraki s goal is to break the cycle of distress into which, through no fault of their own, these children are born. The delicate, vulnerable children that come into the Home can now feel safe and secure in the fact that they have found a real home that will provide them with warmth and be with them their entire lives. The children start a healing process, are educated, well fed and nurtured, often for the first time in their lives. The warm atmosphere of this EMUNAH home is vital to help break through the initial resistance of the children to trust people or to be motivated at school. Psychologists, social workers, art and occupational therapists, and loving caregivers start the process of healing. The belief at Bet Elazraki is that the best way to help the children, in addition to limitless love, is educational success. The summer camp program is an important component of the child s development and healing process. Who should apply: Applicants should be finishing the 11 th grade and most importantly be excited about spending time with our wonderful children. Program Details: The American Counselors program will tentatively start on Thursday, June 25, 2015 and end Thursday, July 30, 2015. The first few days will be a training / orientation session which will allow you to get over your jet lag and get you acclimated to Bet Elazraki. This will be followed by a 5 week camp experience. Meals and lodging will be provided. Yehuda Kohn will be in the New York area prior to your leaving from Israel and a mandatory orientation with Yehuda will be required. The counselors will be supervised by an adult coordinator who will monitor their exact schedules and who will be available should any personal issues arise.

COST OF PROGRAM: The cost of the program is $2600. In addition, EL AL airfare will be available and we will inform you of the exact details of cost and departure when they are known. The more you give to the children the more you receive: Your day will begin bright and early by waking up the children and your day will end when you tuck the kids into bed. So get ready for the challenge of caring for and falling in love with the amazing children of Bet Elazraki. The following is a quote from a letter from an American College student spending a year at Bet Elazraki to her Grandfather in which she describes her experience. I only now have managed to grasp the meaning of great giving pure and real giving that gets you nothing but the wonderful advancement of these children in return. I feel part of this giving and it really moves me and brings me joy. It is a weird feeling to know a 12 year old girl is so dependent on me. It is even stranger with 12 other such girls, but it is so amazing to feel I can "deliver the goods" and become a mother and father, sister and friend, psychologist and teacher for them. We are certain your summer experience will be most rewarding and memorable. Kindly complete the enclosed application and return it to Carol Sufian at EMUNAH of America, 7 Penn Plaza NY, NY 10001. Any additional questions should be directed to betelazraki15@gmail.com. After your application is received, you will be invited for an interview. Thank you for your interest. Carol Sufian Executive Director Yehuda Kohn Yehuda Kohn Director Bet Elazraki

EMUNAH Bet Elazraki Application Summer 2015 (Please print all information) PERSONAL INFORMATION: Name Date of Birth / / Home Address City State Zip Home Phone Cell Email Address Other Way of Reaching You Social Security Number Do you reside with your parents? Yes No Parent's names and titles If no, please fill out the following: Parent Address City State Zip Home Phone Cell Phone Email Parents Email Address PASSPORT INFORMATION: Name As It Appears on Passport Passport Number Expiration Date / / Country of Issue Date of Birth / / PLEASE INCLUDE: A copy of your passport, Insurance card, Two letters of recommendation

PERSONAL HISTORY: 1. Have you ever worked with EMUNAH Bet Elazraki? Yes No If yes, please describe in what capacity you have done so 2. Have you ever visited Bet Elazraki or another EMUNAH Residential Home? Yes No If yes, please tell us about your experience 3. Personal Statement: In 100 words please describe yourself highlighting your attributes that you believe will benefit the children at Bet Elazraki this summer as well as your goals for the summer. Please describe

4. What age group would you prefer to work with? Boys Girls First Choice Second Choice 5. Education History: School Name Elementary School High School 6. Work Experience: 7. References: Years Place of Work Major Subjects Name Address & City Phone Knows you in what capacity? 1. 2. 3. 8. Name of Physician Phone Number 9. Insurance Information: Name of Insurance Carrier Identification Number Policy or Group Number (Please be sure to include photocopy of your insurance card) 10. Food Allergies 11. Include Universal Health Form from your pediatrician

12. Emergency Contact Information in Israel: 1. Name Relationship to staff member Address 24-hour Phone 2. Name Relationship to staff member Address 24-hour Phone I affirm that the above information is true and accurate to the best of my knowledge. I agree that if any of the information changes, I will notify EMUNAH Bet Elazraki. Signature of Applicant Date / / I,, understand that in the event of an emergency, EMUNAH Bet Elazraki will try to contact my physician and emergency contacts. In case they are unable to be reached, I allow EMUNAH Bet Elazraki to make all medical decisions for me in consultation with appropriate medical professionals and to provide me with all possible medical care, including anesthesia, injections, and hospitalization. Signature of Applicant Date / / Please fill out and mail to: EMUNAH of America Bet Elazraki Summer Program 7 Penn Plaza, Suite 205 New York, NY 10001 or fax to: 212-643-9731