1. Which of the following describes you (please choose ALL that apply):
2. a) What is the main purpose of your planned or most recent visit to the West Bank?
2. b) Please add any detail about the purpose of your visit
3. If you have not traveled to the West Bank after October 20 but are considering doing so – please briefly describe any special concerns you have about the new Israeli procedure and include whether you have already applied to the Israeli military for a written approval of entry
4. If you already entered, or attempted to enter the West Bank after October 20, 2022, did you travel via:
We will not share your details with anyone, but it would be helpful if we are able to contact you if we have follow-up questions, and we will alert you to any changes to the procedure: