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Hillel Las Vegas wants to know about YOU!

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Student Information Form

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The Basics...

Name*

Preferred Nickname

Preferred Pronouns

He/Him
She/Hers
They/Them
I'd rather not say
Other

Date of Birth*

Cell Phone*

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Email*

School Email*

I go to...*

UNLV
College of Southern Nevada
Nevada State College
Touro Henderson
Other (tell us below)

I am a(n)...*

Undergraduate Student
Graduate Student
Other

My major is...*

I Should Be Graduating In The...*

I live...*

Address*

Are you involved in Greek Life?*

Yes
No

Shirt Size*

Jewish Life...

How do you identify? (yes, you can select more than one)*

Reform
Conservative
Orthodox
Traditional Egalitarian (Shalva)
Reconstructionist
Renewal
Just Jewish
Not Jewish
Other

Do you or your family belong to a synagogue or temple?*

Yes
No

What are some things you are passionate about? (Feel free to select as many as you want!)*

Volunteering
Jewish Learning
Interfaith Work
Music/Art
Sports/Exercise
Cooking/Jewish food
Self-Care/Mental Health Awareness
Yoga/Meditation
Social Justice
Racial Justice
Feminism
LGBTQ Inclusion
Spirituality
Civic Engagement
Small group/Safe space to discuss topics

Other Opportunities That Might Interest You...

Immersive experiences - Israel (Brightright, Onward Internships)
Immersive experiences - Community Service
Personal Growth and Development (Internships!)
Leadership (Student Leadership Board)
Shabbat Experiences (Planning or Attending Them)

Anything else you want to tell us?

Almost done. Where should we send the confirmation?

Email*

Name*

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