Conference Application Form:
A Jewish-Christian Alliance to Rebuild the West
New York, December 18-22, 2016

I. Personal Information

II. Employment Information

III. Essay

Please submit an essay of 2-3 pages answering the following questions:

  1. What are the greatest challenges facing Western civilization and culture today?
  2. What are the most effective steps we can take to overcome these challenges?
  3. What role do you think you can play in formulating and implementing the changes you believe are needed?
  File size should not exceed 1 Mb. The appropriate formats are doc, docx, pdf.

IV. Please submit your C.V. or resume

  File size should not exceed 1 Mb. The appropriate formats are doc, docx, pdf.

V. Please submit a photograph of yourself.

  File size should not exceed 1 Mb. The appropriate formats are jpg, png.


Please direct all inquiries to Gavriel Lakser at gavriell@herzlinstitute.org