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Perspectives Trip Registration

Perspectives Trip Registration
This is where we will get your final information for the trip! Completion of this form reserves your spot and serves as acceptance of your participation on a Perspectives Trip!
  • Confirmation of Passport Information

    This is required for international travel.
  • As written on your passport (for confirmation)
  • As written on your passport (for confirmation)
  • MM slash DD slash YYYY
  • If you are currently not in possession of a valid passport expiring on or after November 22, 2023, OR if your passport's identification contains letters with numbers, please put a zero ("0") here and email [email protected]
  • MM slash DD slash YYYY
  • (Optional though encouraged)
    Max. file size: 100 MB.
  • Personal Information

  • For nametag
  • For roommate accommodations
  • Please check all that apply.
  • Please include all allergies, medications, and relevant medical conditions that may affect your ability to travel for long distances, hike (moderately), walk long distances, stick to a tight schedule, and be focused and engaged in our programming for very long days.
  • COVID-19 Vaccination Information

  • Max. file size: 100 MB.
  • Medical Insurance Information

    Our program includes limited local medical insurance that covers treatment and medication for conditions that occur during the trip and within Israel only. The policy does not cover pre-existing conditions. To ensure you are fully insured, please include your medical insurance information below. Details on the provided local medical insurance can be found at: https://www.authenticisrael.com/student-leadership-mission/prepare-for-your-trip/
  • (Optional though encouraged)
    Max. file size: 100 MB.
  • (Optional though encouraged)
    Max. file size: 100 MB.
  • Emergency Contact Information

Shabbat at Hillel JUC

Please see our page about Shabbat dinner and experiences during the semester.

Contact Us

  • The Edward and Rose Berman Hillel Jewish University Center of Pittsburgh
    4607 Forbes Avenue
    Pittsburgh, PA 15213
  • 412-621-8875
  • [email protected]
  • Chai Tech
  • Students
    • Connect With Us
    • Student Groups
    • Travel to Israel
    • Kosher Food
    • Prospective Students
  • Events
    • Calendar
    • Shabbat & Holidays
      • Shabbat at Hillel JUC
      • Passover
    • Feedback Form
    • Chai Tech
  • Campus Superstar
    • Auditions
    • Sponsorship & Ads
    • Admission
  • Parents
    • Chicken Soup Hotline
    • Connect With Us
    • Parent Circle
  • About
    • Mission, Vision and History
    • Our Values
    • Staff
    • Board
    • Alumni
    • Eruv
    • Merchandise
    • Facility Rentals
    • Contact Us
    • FAQ’s
  • Donate
    • Ways to Donate
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