Bama Hillel Membership Form

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Email *

Yes! I would love a free t-shirt!

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Medium

Large

Extra Large

XXL

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First Name *

Last Name *

Cell Phone (number used for text to vote and reminders) *

Street *

City *

State *

Zip *

Name of Parent(s) or Guardian(s) *

Parent(s)/Guardian(s) email *

Grandparent(s) Name (for grandparents club)

Grandparent(s) Email

I am in the class of ....... *

I most closely identify with the following religion

Judiasm (Secular)

Judiasm (Reform)

Judiasm (Conservative)

Judiasm (Modern Orthodox)

Judiasm (Orthodox)

Non-Jewish but interested in Hillel activities

Other:

What is your anticipated Major? (ex, psychology, business, accounting) We will try to connect you with someone in your major.

Are you interested in learning more about summer internship opportunities through Hillel Connections?

Yes

Maybe

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