NFTY-EIE High School in Israel STUDY AUTHORIZATION FORM

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NFTY-EIE High School in Israel STUDY AUTHORIZATION FORM Name NFTY - EIE HIGH SCHOOL IN ISRAEL Eisendrath International Experience is a semester program that is accredited by the Middle States Association of Colleges and Schools. Students may choose to participate in either the fall or spring semester. During each semester students attend classes five days a week on our campus at Kibbutz Tzuba, near Jerusalem (please see a sample schedule on the inside back cover of the Program Course Catalogue). The program also includes a one-week field trip to Poland, a desert and wilderness adventure, as well as many day trips throughout the country. Course descriptions are found in the NFTY-EIE Program Course Catalogue. The following courses are mandatory for all students: Hebrew Language: Beginner, Intermediate or Advanced: 100 classroom hours, 30 field hours per semester (1.0 credits) Israel: Land, Cultures and People: 210 classroom hours including 25 field trips, per semester (1.5 credits) Physical Education: 10 hours per week (1.0 credits) English Lang and Comparative Lit (or an English class that fulfills the home high school s requirements): 5 classroom hours per week PLEASE INDICATE THE GENERAL STUDIES COURSES YOUR STUDENT WILL REQUIRE WHILE IN ISRAEL: 1. Check all subjects the applicant is required to study while in Israel 2. Circle Regular, Honors, or AP. 3. Are the courses taught over one year (yes/no) or one semester (yes/no)? 4. If the NFTY-EIE course description does NOT meet the student s home high school requirements or is not listed below, please complete Appendix A and check here: AP English Literature AP English Language English 10 English 11 English 12 Geometry Algebra II Trigonometry Pre-Calculus Calculus AP Calculus AB AP Calculus BC World History / AP U.S. History / AP U.S. Government / AP AP European History Economics AP Economics Macro AP Economics Micro Biology / AP Chemistry / AP Environmental Science / AP Physics AP Physics 1 AP Physics 2 Spanish II Spanish III Spanish IV AP Spanish Literature AP Spanish Language French II French III French IV AP French Literature AP French Language Other:

Study Authorization Form (continued) IB (International Baccalaureate) Tutoring NFTY-EIE offers short term tutoring to students enrolled in an IB programme elsewhere while they attend our program. Our experienced IB teachers will use the IB curriculum and syllabus as supplied by your school at home. IB English A IB Hebrew IB Chemistry IB English B IB Economics IB Physics IB French IB Biology IB Mathematics IB Spanish Important Notes: IB History Theory of Knowledge 1) Please be advised that each student and home high school is responsible for providing NFTY-EIE with a copy of the course syllabus for each course the student will take in Israel (excluding Israel: Land, Cultures and People and Hebrew Ulpan) 2) Private tutorials in courses not listed can be arranged at an additional cost. If you have any questions, please contact: NFTY-EIE High School in Israel, 633 Third Avenue, 7 th Floor, New York, NY 10017 Phone Number (212) 650-4073, Fax (212) 504-8031, Email: nfty-eie@urj.org AUTHORIZATION FORM TO BE COMPLETED AND SIGNED BY PRINCIPAL, DEAN OR GUIDANCE COUNSELOR I have read the NFTY-EIE course descriptions, approve the course of study as indicated above, and will grant full academic credit for the general studies, Physical Education, Hebrew, and Israel: Land, Cultures and People upon receipt of an official transcript from the NFTY-EIE High School in Israel. PLEASE PRINT CLEARLY Name of School: Phone: ( ) Address: City: State Zip Code Name of School Official Signature: E-Mail: Position: Date: / / School Code Number: (For PSAT, SAT, ACT, and AP Exams)

Study Authorization Form (continued) Please return this form to the applicant s parent/s: Parent Address: City: State: Zip Code: Phone: ( ) TO BE SIGNED BY PARENTS I have reviewed this Study Authorization Form as completed by the official at my child s school and accept the course of study indicated. Name of Parent: Signature: Date: / / This form may be uploaded to your NFTY-EIE account, e-mailed to nfty-eie.org, or faxed to 212-504-8031. Please contact the NFTY-EIE Director of Admissions with any questions, 212-650-4073.

NFTY-EIE High School in Israel Study Authorization Form - APPENDIX A Name Note: A separate copy of this form must be submitted for every subject that is different from your school s curriculum or is not a course generally offered by NFTY-EIE and listed on the Study Authorization Form. Please duplicate as necessary. Part One: Special Study to be completed by school official Subject Section A: Please explain, in detail, how and why the course as described in the NFTY-EIE Program Catalogue is different from your school s academic requirements. If the course is not included in the NFTY-EIE Program Catalogue, please describe. In order to best prepare our students for a smooth transition back to their home high schools from NFTY-EIE High School in Israel, we require as much detailed information as possible. Also, please attach a syllabus of the course as it is taught in your school, indicating those topics which the applicant needs to cover during the semester. NFTY-EIE makes every effort to accommodate most academic needs, provided we have all the necessary information. Section B: Please check one of the following: It is your recommendation that the applicant: 1. Cover the missing material through independent study, arrangements to be worked out between the home high school and parents. 2. Participate in the regular NFTY-EIE course but complete any extra work as an independent study, which has been previously arranged with the home high school, without supervision. 3. Participate in the regular NFTY-EIE course but have supplementary tutoring as necessary (up to two hours/week) in order to complete the academic requirements as detailed here. 4. NFTY-EIE will make arrangements for the student to have a private tutorial in order to study this subject. 5. NFTY-EIE will make arrangements for the student to have a private course in order to study this subject. Signature of School Official: Date: / / Please return to student for parental signature.

Study Authorization Form APPENDIX A (continued) Part Two: Parent Authorization to be completed by Parent(s) If in Part One, Section B, the responsible school official has: checked item 1 or 2, we take it upon ourselves to make the necessary study arrangements with our child s school and will not hold the NFTY-EIE High School in Israel responsible for teaching or supervising our child s study in this subject. checked item 3 or 4, we understand that if the NFTY-EIE High School in Israel is able to arrange for tutoring. We will be charged $35.00 per academic hour and we agree to pay such sums immediately upon receipt of a bill. Further, we understand that if NFTY-EIE is unable to arrange for appropriate tutoring, we will be notified of this no later than two weeks prior to commencement of the program. We also understand that in order to provide tutoring as necessary, it is our responsibility to submit a course syllabus and a Xeroxed copy of the Table of Contents of the student s textbook indicating the chapters that need to be covered no later than three weeks before the beginning of the program. In the case of a private course or tutoring for a subject that is not offered by NFTY-EIE, we will send to Israel with our student two copies of the designated textbook and a copy of the relevant syllabus. Fees* for private courses NOT listed on the Study Authorization are as follows: o AP Courses (meet 4 x per week, $30 per hour) - $1,200 o Regular or Honors Courses (meet 3 x per week, $30 per hour) - $900 *Fees will be split if more than one student is enrolled in a private class Please note that in accordance with Israeli law, when a teacher is hired to teach a private course that is a binding contract which cannot be cancelled without proper cause. For that reason, if a private course is dropped, the full fee must be charged and is not refundable. Signature of Parent/Guardian Date / / Note: the Semester Study Authorization and Appendix A form may be uploaded to your NFTY-EIE account, e-mailed to nfty-eie.org, or faxed to 212-504-8031. Please contact the NFTY-EIE Director of Admissions with any questions, 212-650-4073