University of Chicago Hillel
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Prospective Student and Parent Form
Welcome to UChicago Hillel!
Whether you are planning a visit to campus, or already applied/accepted for next year, we are happy to get in touch and answer any questions you might have! Tell us a bit about yourself and a member of our staff will be in touch soon.
Prospective Student Information
Prospective student name
*
First Name
Last Name
Prospective student's email
*
Verify Email
*
What is your expected graduation year?
select one
2021
2022
2023
2024
2025
Are you planning on taking a gap year? If so, please tell us about it (when? what program?)
Interests
What would you be interested to hear more about?
Reform Community/Minyan
Egalitarian Community/Minyan
Orthodox Community/Minyan
Acapella
Israel
Jewish learning
Leadership
Social justice/activism
Other
Prospective Students Not Yet Applied
Planning a visit to campus
Already visited campus
Applied Students
Planning a visit to campus
Already visited campus
Applying early decision
Was accepted, still considering
Accepted and attending next year
Accepted and attending - after taking a gap year
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Any questions? Let us know how can we help!
Prospective Parents Information
Parent 1
*
First Name
Last Name
Email
*
Verify Email
*
Phone Number
Parent 2
First Name
Last Name
Email 2
Verify Email
Phone Number 2
Any questions/comments? Please let us know and we will get back to you as soon as we can!
Who is this form filled by?
Prospective student
parent
Who would you prefer we should follow up with?
prospective student
parent
Thank you!