Maryland Hillel Prospective Student Form
Are you interested in visiting the Jewish community at the University of Maryland? Please fill out this form and we will do our best to accommodate you.
Name *
Your answer
Email Address *
Your answer
Cell Phone Number *
Your answer
Gender *
What date do you plan on arriving? *
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DD
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YYYY
What date do you plan on leaving? *
MM
/
DD
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YYYY
Would you like us to find you hosts? *
Are you coming along with friends? If so, what are their names?
Although we will try to find you housing near each other, we cannot guarantee that this will be possible.
Your answer
Where do you go to high school? *
Your answer
What grade are you in/ What year did you graduate? *
Your answer
How do you identify yourself religiously? *
What is your application status? *
More About You: (optional)
The following questions are optional but they will help us match you to a host with similar interests as you.
What major are you interested in pursuing?
Your answer
Are you planning on spending the year in Israel? If so, where?
Your answer
Anything else you would like to add? Comments? Questions?
Your answer
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