Tell Us About Yourself!
One moment please...
Future Student's Name
*
First Name
Last Name
I will be a:
*
Undergraduate Student
Graduate Student
Which Area University will you be attending?
*
University of Texas at Austin
Austin Community College
St. Edwards University
Southwestern University
Texas State University
Other
Other University
*
Anticipated Graduation Year
*
select one
2022
2023
2024
2025
2026
2027
2028
Student's Email
*
Verify Email
*
Future Student's Cell Phone
*
When is your Birthday?
*
Texas Hillel shares information with the University of Texas at Austin, and this is a required bit of information.
Have you participated in a Birthright free trip to Israel?
*
Yes
No
Do you plan to live on-campus or off-campus?
On-campus
Off-campus
Future Student's Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Residence Hall
Andrews
Blanton
Brackenridge
Carothers
Creekside
Duren
Jester East
Jester West
Kinsolving
Littlefield
Moore-Hill
Prather
Roberts
San Jacinto
Whitis
I am interested in:
Community Service
Social Activities
Social Justice
Israel Advocacy and Education
Interfaith Dialogue
Jewish Learning
Hebrew Language
Holocaust Remembrance
Business
My Parent's Name
*
First Name
Last Name
My Parent's Cell Number
*
My Parent's Email Address
*
Verify Email
*
My Hometown / Parent's Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
My Other Parent's Name
First Name
Last Name
My Other Parent's Cell Number
My Other Parent's Email Address
Verify Email
Are the addresses for both Parents the same?
Yes
No
My Other Parent's Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country