Please check according to your work experience*

Last Suffix

Sex*

Military experience

Honorably discharged

Current professional QUALIFICATIONS that apply to your work experience: (Certifications, licneses, etc..)

Current professional ORGANIZATIONS that apply to your work experience: (Example: Task Force, etc..)

Does the EVP and its representatives have your permission to follow up and inquire about any of the answers you have submitted?

Deployments are anywhere from 7-14 days including travel time. Can you be gone that long

Does the EVP and its representatives have your permission to share this information with Israeli Officials

Date of Birth*:

Valid Passport & Visa to Israel*

Passport picture*

Have you ever been convicted of a felony or misdemeanor involving moral turpitude?*

Have you used or taken any type of illegal substance(s) during the past year?*

I, by submitting this form, hereby grant permission to the Israel Emergency Aid Fund (IEAF) / EVP, to conduct a background investigation on me to determine my eligibility for attending the EVP Training course & volunteering with EVP. Investigation will be used for the sole purpose of determining eligibility of attending this Training.

Investigation will be used for the sole purpose of determining eligibility of attending this Training.

I also understand that my acceptance is subsequent to the following: accuracy and honesty in completing application forms, no omissions or falsification of information, no felony convictions, no convictions for offenses involving moral turpitude, no outstanding warrants of any kind, no drug use within the last year and a clean driving record. I further understand that should I fail to qualify for any reason, that all records obtained, collected, or otherwise prepared for this purpose shall remain on file with the IEAF for a minimum of three (3) years.

I have read the terms and conditions included with this application. I understand these terms and agree they shall be binding on me. I further agree that my disregard for these policies will be sufficient grounds for my expulsion from the Project without refund, and any additional expense will be borne by me. I am in good health and have disclosed any illness or other condition that would impede my performance of heavy physical labor or participating in the Emergency Volunteers Project (EVP).