Name *

First Name

Last Name

Phone *

Country

(###)

###

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Lebanese Origin *

Do you have at least one parent, grandparent, or lineage connection to Lebanon?

Yes

No

Residence Outside Lebanon *

Were you born and raised outside Lebanon? Or have you resided outside of Lebanon for over 15 years?

Yes

No

Clean Record

Do you have a clean record with no criminal offenses, misdemeanors, or law-breaking activity?

Yes

No

Interest In Lebanon

Have you ever connected with Lebanon and its communities through any of the following ways?

Previous visits to Lebanon.

Continuous family connections in Lebanon.

Involvement in Lebanon-related school or college projects.

Engagement with Lebanon-connected entities (business, NGO, social club)

Participation in other Lebanon-linked events

Curiosity and Learning *

Are you eager to learn about Lebanon’s history, culture, and lifestyle?

Yes

No

Diaspora Connections *

Are you interested in connecting with other Lebanese diaspora members?

Yes

No

Active Participation *

Are you willing to engage in all the projects that will be planned with Jouzour program? This includes educational workshops, community projects, and visits to various landmarks.

Yes

No

Documentation and Sharing *

Will you commit to document and share experiences through various media (photos, videos, journals, blogs, social media), including writing a daily journal about your activities and experience?

Yes

No

Post-Program Engagement *

Do you agree to remain engaged with the program post-participation for at least one year? One example would be to act as a program ambassador.

Yes

No

Language Proficiency *

Are you fluent in English? (Knowledge of Arabic or Lebanese dialect desirable but not mandatory).

Yes

No