Contact Us
OTZMA North American Office

Telephone: 1-877-GO-OTZMA (1-877-466-8962)
Fax: 212-284-6988
E-Mail: otzma@jewishfederations.org

To find out more about OTZMA and to download an application, please complete the form below, which will be sent directly to the OTZMA North American Office. Should you wish for a hard copy of the application to be mailed to you, please request one in the comment section below.

Fields marked with a * are mandatory.
* First Name
* Last Name
* E-Mail
  Permanent Address Information
(Such as a year-round/non-school address, if applicable)
Address
City
State/Province
Zip/Postal Code:
Country:
  Temporary Address Information
(Such as a school address, if applicable)
Address:
City:
State/Province:
Zip/Postal Code:
Country:
Phone:
University:
(if applicable)
  College Graduation
 
Already Graduated     
Plan to Graduate     
  What is Your Age?
 
  How did you hear about OTZMA?
 
From a past participant   Advertisement on jpost.com
Israel programs event   Advertisement on Ha'aretz.com
University Hillel   Birthright Israel
OTZMA Web site   Jewish Coalition for Service Web site
Jewish Agency Web site   Destination Israel Website
Other:  
  Please include any additional information, comments, and questions in the box below: