Please fill out this form so that we can contact you about the next info session
Location —Please choose an option—Los AngelesBay AreaNew YorkChicagoArizona
Trip —Please choose an option—Costa RicaIsraelMiamiMoroccoPolandScotlandSouth Africa
Why are you interested in joining LAJ to Poland?
First Name
Last Name
Date of Birth
Phone
Email
Date of Session (One must attend an info session to qualify for the trip) —Please choose an option—September 22 @ 7:00 pmOctober 6 @ 7:00 pmRequest individual interview
Date of Session —Please choose an option—September 22 @ 7:00 pmOctober 6 @ 7:00 pmRequest individual interview
How did you hear about LAJ?—Please choose an option—I saw a Facebook AD / Post / VideoMessage on Facebook from a recruiter - a message from a person you do not knowA Friend that did LAJI'm an LAJ alumniJ-swipeOther
List previous trips with LAJ