Hillel Intake Form
In order to provide the best possible services to our students, at Hillel of Northern Nevada we asked you to take just a few minutes to help give us all the information that we should need throughout your college years. This information will be kept exclusively confidential and in house. Should you run for a leadership position in the future the information you provide here will be used in conjunction with your platform to help you create your peer campaign.
Email address *
Name *
Preferred.
Please select or add your pronouns
Class of... *
Incoming freshman are the class of 2023
Required
What's your major? *
What career are you interested in? *
Are you interested in JIGL
JIGL, Jews In Greek Life
Column 1
yes
no
maybe
Movement Affiliation? *
Keep Kosher/want more information?
Want to be connected with local Temples?
Or need transportation?
Interested in Free High Holiday Reservations?
Do you want to be matched to a local family
for periodic Shabbat dinners and emotional support?
Are you interested in a Hillel "Big"?
Sophomore, Junior, or Senior to be an initial peer contact.
What is your community of origin?
Where are you from?
Are you interested in Jewish Living Situations?
Interested in Alternative Spring Breaks?
Service based programs
Have you met with a Hillel Student Leader yet to do a formal welcome?
The student vice president is the fysh coordinator, the Engagement intern will treat you to a cup of coffee or tea, the outreach officers are here to help you connect!
Are you interested in a study buddy?
Do you enjoy outdoor activities?
Like to hike/kayak/swim/ski or Want to learn?
Can you Read Hebrew/or decode Hebrew?
Want to participate in leading an abbreviated service, or an alternative service?
We are an Egalitarian group who holds everyone's observance in the highest regard. If you require a fully observant service, please reach out and let us know so that we can connect you.
Are you interested in Jewish text study, in trips, and or in Shabbaton(s)?
We have exceptional collaborative relationships with multiple organizations who share and overlap our service population.
Are you interested in Birthright trips to Israel?
Do you know the requirements for your free trip to Israel?
Are you interested in conferences & seminars?
Do you have any allergies, or illnesses we should be aware of?
Food allergies?
Do you have an academic plan?
Have you met with an academic advisor?
Are you interested in fellowships, internships, or employment?
Do you want/need local LGBTQIA resources? *
Do you want local arts, cultural, community resource facilitation?
How else can we help you?
Anything else you want to tell us about yourself?
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