An HonestReporting Project
Apply Here and Join us for Israel's #1 Experience

HR Mission Application Form

1. Reservation

Please reserve:
space(s) on the mission. A deposit of USD$500 (AUD$533) minimum per person is required.

HonestReporting reserves the right to limit participation based upon eligibility requirements and availability. For further information contact our HonestReporting office in Israel:

U.S. line: 1-847-745-8284;
Non-U.S. line: (011) 972-54-239-2574
*** (Israel time - 7 hours ahead of NY time)
Email: hrmission@honestreporting.com

2. General Information

Participant 1

Title:
If other, please specify:
* Full name exactly as shown on passport: *
* Name as you'd like it on name tag: *
Gender:
Nationality:
Country of Birth:
Date of Birth:

MM
/
DD
/
YYYY
Passport Number:
Country of Issue for Passport:
Passport Expiration Date:

MM
/
DD
/
YYYY

If you have month and year only, enter 01 in day.

Please note that your passport must be valid for 3 months from the date of your return.

Business Information:

Occupation:
Name of Business/Company:

Participant 2

Title:
If other, please specify:
* Full name exactly as shown on passport: *
* Name as you'd like it on name tag: *
Gender:
Nationality:
Country of Birth:
Date of Birth:

MM
/
DD
/
YYYY
Passport Number:
Country of Issue for Passport:
Passport Expiration Date:

MM
/
DD
/
YYYY

If you have month and year only, enter 01 in day.

Please note that your passport must be valid for 3 months from the date of your return.

Business Information:

Occupation:
Name of Business/Company:

Help us to help you!
We want to help you get the most out of your trip with us, so go ahead and help us get to know you. Of course, your privacy is paramount.

Participant 1

Important Medical Information
(Handicaps, allergies, medications, or medical condition that we should be aware of):
Walks of approx 45 minutes and climbing steps are typically part of our program (please see 'Terms and Conditions' for more information). Please let us know if there is any reason why you will not be able to partake in this part of the program:
Religious Affiliation (Please select one)
If other, please specify which:
Have you been to Israel before?
If you answered yes to the above, have you attended a Mission in the past?
If so, please state which:
Please describe your communal involvement (if any), and the charities you are involved with or that you care about:
Please tell us why you have chosen to join this Mission:

Participant 2

Important Medical Information
(Handicaps, allergies, medications, or medical condition that we should be aware of):
Walks of approx 45 minutes and climbing steps are typically part of our program (please see 'Terms and Conditions' for more information). Please let us know if there is any reason why you will not be able to partake in this part of the program:
Religious Affiliation (Please select one)
If other, please specify which:
Have you been to Israel before?
If you answered yes to the above, have you attended a Mission in the past?
If so, please state which:
Please describe your communal involvement (if any), and the charities you are involved with or that you care about:
Please tell us why you have chosen to join this Mission:

3. Contact Information

Address: *
City: *
State:
Postal Code: *
Country:
Home Telephone: *
Work Telephone:
Cellphone:
Email *

4. Emergency Contact

Name:
Relationship:
Place of Work:
Title:
Address:
Telephone:
Cellphone:
Email:

Emergency Contact 2

Name:
Relationship:
Place of Work:
Title:
Address:
Telephone:
Cellphone:
Email:

5. Booking Requirements

Number of Rooms Required
Please select which type of room you would like to book:
 Double Superior room - Share with 
If checked above - enter roommate Name:
/Please try to find me a roommate (see Note below)

Note: HonestReporting will attempt to find suitable roommates, if requested.
However, if we are unsuccessful, participant will be subject to the single supplement charge.
Other room options available:
 Single Superior room (additional charge of US$940 (AUD $1000) for duration of Mission) 
 Upgrade to Old City View (US$35 per night / AUD $38 per night) 
 Upgrade to variety of suites (prices upon request) 
Special Requirements:
Special Dietary Requirements:
Physical Limitations or Restrictions:

6. Payment

I will be sending my payment by:

Please send your deposit of USD$500 (AUD$533) per person as soon as possible.
AT THIS TIME WE ARE ONLY ABLE TO ACCEPT U.S. DOLLARS AS PAYMENT FOR MISSIONS. PLEASE ENTER THE USD AMOUNT FOR MISSION DEPOSIT.


Click our HR Donation page to pay your deposit online with a credit card.

If you choose to pay online, please click the 'Other Payment Amount' option and enter $500 (USD amount, per person), then continue normally.
Any other comments/requests:
Your health and security is a priority for HonestReporting. Please forward us a copy of your medical/travel insurance policy, together with a current passport-sized photograph, for our records, at least 21 days before the start of travelling to Israel. *
 I/We take responsibility for sufficient medical coverage for the duration of my/our stay in Israel. 
 I have read and accepted the Terms and Conditions