Student Arrivals "*" indicates required fields Dear student, we are looking forward to seeing you at the Whole Word Institute. To help us prepare for your arrival, please complete this form at least 7 working days before your departure for Israel.Student DetailsFamily Name*First Name*Passport number*Visa Number*Email* Telephone (WhatsApp)*Country* AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Number of Luggage cases*Number of accompanying people*Flight DetailsIf there are any changes to your schedule, Please get in touch with Mark den Uyl via WhatsApp at +972-58-431-3559 with your updated flight details.Flight Number*Departure airport*Departure date* YYYY dash MM dash DD Departure time* Hours : Minutes AM PM AM/PM Destination airport*Arrival date* YYYY dash MM dash DD Arrival time* Hours : Minutes AM PM AM/PM Do you have a connecting flight?If your flight is not direct, please add in your connection. Yes, I need to add a connection Connecting Flight DetailsFlight Number*Departure airport*Departure date* YYYY dash MM dash DD Departure time* Hours : Minutes AM PM AM/PM Destination airport*Arrival date* YYYY dash MM dash DD Arrival time* Hours : Minutes AM PM AM/PM Airport TransferWe are unable to arrange an airport pickup and transfer unless you submit your request and complete all arrival details at least 5 working days before your arrival in Israel. The pick-up will be by a member of the Whole Word Institute team, and it is free. (This service is not guaranteed)I request an airport pick up and transfer to the Whole Word Institute accommodation in Jerusalem* Yes No Food allergies/ Intolerance/ Dietary needsDo you have a known food allergy or intolerance?* Yes No If Yes, please specify:Please specify if you have any specific dietary requirements to better help us meet your needs. Please note that while our team will try to make accommodation for preferences, this is not guaranteed.Roommate PreferencesI understand that I will be placed with someone who closely matches my preferences, but there are no guarantees. If Whole Word Institute matches me with someone I cannot have a good relationship with as a roommate, I can request a room change in late September, but not before then. No private rooms are available. No specific room type is guaranteed based on these preferences.Roommate Preferences*I understand that I will be placed with someone who closely matches my preferences, but there are no guarantees. If Whole Word Institute matches me with someone I cannot have a good relationship with as a roommate, I can request a room change in late September, but not before then. No private rooms are available. No specific room type is guaranteed based on these preferences. I understand and agreePlease note your preferences for your room, for example, do you have any problems with light, noise, do you go to sleep early/late etc*Work scholarship preferences A portion of your scholarship is being covered through our work scholarship program. This consists of work duties of up to 6 hours per week across our campus. These duties are a significant help to our life on campus. We are grateful for the contribution of each student to our day-to-day operations and are thankful that this kind of work can provide you with scholarship assistance. Where possible, the various duties are assigned in Hebrew to aid your language learning. Tasks will be rotated with different students, as needed, throughout the year. If you have a medical reason that you cannot do certain tasks, please provide a doctor’s note explaining your physical limitations. Types of duties are: Kitchen and meal duties, including breakfast cooking; dishwashing, pots and pans; meal set up, etc. ,Locking/unlocking facilities at the beginning and end of the day , Student housing (floor representative) , Cleaning throughout various campus locations, Hospitality, IT/Media, Skilled tasks (e.g., painting, plumbing, electrical), Other errands and duties, as necessaryUnable to do the Work Scholarship?If you are unable to do the tasks above please tick the checkbox to opt-out. I want to opt-out of the Work ScholarshipAre there any tasks you are not able to perform, for example, do you have any allergies to cleaning materials, do you have problems with lifting, etcLaptop/TabletA laptop or large tablet is a requirement for this program. You will need to write summaries, and hand in typed assignments. A smartphone is not considered to be a tablet.Please confirm that you are bringing a laptop or a large tablet.* Yes No If you answered no, please provide a reason:*CompletionBy signing this I am certifying I understand the disclaimers contained in this form and I verify the information provided is true and correctSignature*Date* YYYY dash MM dash DD PhoneThis field is for validation purposes and should be left unchanged.
