Ben Azzai Programme 2025/6 – Application Form Share this article:Please fill in the form below to apply for the Ben Azzai Programme 2025/6: BASIC INFORMATIONName* First Last Gender*MaleFemaleAge*Date of Birth* DD slash MM slash YYYY Mobile number*Home Address* Street Address Address Line 2 City County / State / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman 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 Email* Where are you currently studying/working?*Which year of your qualification will you be in during the 2025/26 academic year?*What are you currently studying?*Passport Number*Name as it appears on your passport*Passport Date of Issue*Passport Expiry Date*Nationality*Do you have any health issues which could affect your participation on the programme?*Do you have any allergies or dietary requirements?*EMERGENCY CONTACT INFORMATIONName of Emergency Contact*Relationship to you:*Emergency Contact Mobile Number*Emergency Contact Email AddressABOUT YOUPlease include a one paragraph bio about yourself. This should be written in third person and should include information about your educational background, extracurricular/ volunteer activities and interests.*Please detail your involvement with youth movements, university J-Socs or other communal organisations. (Year, position/role/involvement)*Why do you want to participate in the Ben Azzai Programme? Please present your response in the form of a video up to 2 minutes long, which you should upload to YouTube. Paste the link to the video in the box provided.*Note: Please ensure you have set your video as 'Unlisted' so that the general public cannot view it.Please attach your CV*The maximum file size is 100MB.Max. file size: 512 MB.TERMS OF ENROLLMENTI understand that, as a condition of programme participation, I will be required to sign a World Jewish Relief agreement and an OCR agreement, and submit a medical form signed by a doctor, a copy of a valid passport, and an emergency contact.*YesNoI understand that, as a condition of programme participation, I will be expected to participate in all organised activities, including follow-up activities.*YesNoI can confirm that, as a condition of programme participation, I have had or will have had all relevant vaccinations including covid (first dose, second dose, booster) at the required timeframe before the trip and will follow all health guidelines as set out by the UK and Rwandan national governments and NaTHNaC.*YesNoADDITIONAL INFORMATIONHave you ever been arrested and/ or convicted of a crime or misdemeanor?*NoYesI hereby certify that all of the above statements are true to the best of my knowledge.*Full NameSignatureToday's Date* DD slash MM slash YYYY The Chief Rabbi's Ben Azzai Programme 2025/26The Chief Rabbi’s Ben Azzai Programme educates high calibre university students and apprentices on key global issues – international development, refugees, and climate change – and explores them through a Jewish framework. The programme includes a trip to Rwanda, where participants will meet and learn from World Jewish Relief’s partners about the work that they do to tackle these issues. At the end of the programme, participants will become the Chief Rabbi’s ambassadors for global social responsibility, and will share their experiences widely, within communities, in schools, on campus and beyond. World Jewish ReliefWe are the UK Jewish community’s humanitarian and development agency. Inspired by our Jewish values, we save, support and empower people in crisis. We were founded in 1933 and are proud to have rescued over 65,000 Jews fleeing the Nazis. World Jewish Relief today supports vulnerable people from marginalised communities, suffering the consequences of conflict and disaster to survive and thrive. We work in 19 disaster-affected countries and 23 towns in the UK. From conflict stricken eastern Ukraine to Afghan refugees in Bradford, and from climate migrants in Nepal to young women in Rwanda, our impact is simultaneously global and local. Learn more at worldjewishrelief.orgUntitled
