Project OTZMA --

To find out more information about Project OTZMA and to download the 2003-2004 application, please complete the form below.

This form will be sent directly to the Project OTZMA North American Office.

First Name
Last Name
Email
	Permanent Address Info (Such as a year-round/non-school address, if applicable)
Address
City
State/Province
Zip code
Country
	Temporary Address Info (Such as a school address, if applicable)
Address
City
State/Province
Zip code
Country
Phone
University (if applicable)
	College Graduation Already graduated Plan to graduate
	How did you hear about Project OTZMA? Internet From a past participant Israel programs event University Hillel birthright israel Other
	Please include any additional information, comments and questions below

top

Helpful Links
		National Contact United Jewish Communities 111 8th Avenue New York, NY 10011 USA Telephone: 1-877-GO-OTZMA (1-877-466-8962) Fax: 212-284-6838 E-Mail: otzma@ujc.org Website Contact webmaster@projectotzma.com Site Feedback

webmaster@projectotzma.com