Jewish Community of Southern New Jersey

ShinShinim Host Family Pre-Application Survey

If you have any questions, please contact Sabrina Spector, JCRC Associate Director at [email protected] or 856-751-9500 x1108

Our ShinShinim, Ella and Lia will be in our community from August 2022-August 2023

Our staff will be in touch with a more detailed survey if selected as a host family.

Please note, a single host family will have ONE ShinShinim staying with them.

Parent 1

Name

Best Phone Number to Reach You

Phone Type

Address

Occupation/Employer

Parent 2

Name

Please complete the information below for any children in the household.

Child 1

Name

Age

Grade 2022-23 School Year

School for 2022-2023 School Year

Child 2

Name

Age

Grade 2022-23 School Year

School for 2022-2023 School Year

Child 3

Name

Age

Grade 2022-23 School Year

School for 2022-2023 School Year

Does either parent work from home?

Has anyone in your family been to Israel?

Please indicate which hosting period works best for your family (select all that apply)

I/We are able to host for

I/We are able to host for shorter periods of time, i.e. 1-3 weeks

Is there any additional information you wish to share about your family?