Housing for Lone Soldiers

The Lone Soldier Center can find you housing in our Jerusalem home, through our mini-garin program (in Jerusalem) on a kibbutz or other locations. If you are interested in one of these options, please fill out the form below. If you would like to speak with an adviser about other options please contact us.

GIVE TO A HOME

הקלק כאן לטופס בעברית

Lone Soldier Housing Form

Personal Information

First Name - שם פרטי

Last Name - שם משפחה

First Name (Hebrew)

Last Name (Hebrew)

Street Address (abroad)

Home City (abroad)

Home Country

Home State

Gender

Phone

Birthdate

High School (Name)

Yeshiva/Mechina (Name)

Other

Please upload a picture of yourself

Additional Notes

Which area are you currently living in?

Jerusalem area Tel Aviv/ Center Southern IsraelNorthern IsraelOutside of Israel

Army Status

Drafting Lone SoldierCurrent Lone Soldier

Service Type

MachalAliya

Draft Date (Approx)

Release Date

Have you been on Birthright?

YesNo

Parent/Guardian Information

Which parent(s) are you in touch with?

Mother's First Name

Mother's Last Name

Mother's Phone

Mother's Email

Father's First Name

Father's Last Name

Father's Phone

Father's Email

Contact in Israel's Information

Please Enter your Israel-based emergency contact's information (a family member, close friend, or someone you like/trust)

First Name

Last Name

Phone

City of Residence

Military Information

Military ID #

Army Unit

Army Position

Other Unit

Draft Date

Please enter the date using the calendar or dd/mm/yyyy. If you do not have a draft date, please enter an estimated date of when you expect to draft.

Release Date

Please enter the date using the calendar or dd/mm/yyyy

Army Program

MachalGarin TzabarNone

Other Info

Which house are you interested in living in:

Do you prefer a room by yourself or with other soldiers?

By myself
Happy to be with other soldiers

What support network, if any, do you have in Israel? (Siblings, close friends, yeshiva, etc).

How well do you currently speak Hebrew

0 - poorly12345678910 - Fluent

How do you define your level of religious observance?

Are you currently taking any medications? Do you suffer from any allergies?

In the past 3 years have you seen a mental health specialist?

YesNo

Explain

Until what age did you live at home?

Please provide the name of a person you know at the Lone Soldier Center:

Contact Information

	HeChalutz 29 Jerusalem, 9622226
	(02) 502-2211
	info@lonesoldiercenter.com

	HaNatsiv 39, Tel-Aviv 4th floor
	03-560-1931
	info@lonesoldiercenter.com