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Filled in by Interviewer:
Staff who is conducting the interview
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Julia Appel
Danielle Baron
Matan Boni
Danya Borenstein
Tehila Colman
Gila Cotler
Ayinadis Darbow
Judith Dworkin
Lily Fostikova
Dan Hadad
Evan Goldenthal
Emily Goldstein
Lucy Kleinerman
Dor Kwiatek
Max Marmer
Rob Nagus
Allie Novack
Ashira Prizant
Ari Reis
Ilana Shtivelman
Jeremy Starr
Shira Unterman
Or Weiss
- Hillel Intern -
Other
If Other:
Name of Intern:
Name of Student being interviewed:
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First Name
Last Name
Their email:
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Their Mobile Phone
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They told me explicitly not to email them newsletters:
Yes
This person is a...
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Undergraduate Student
Graduate Student
Alumni
High school student
Community member
Campus
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Centennial College
George Brown College
Humber College
McMaster University
OCAD
Queen's University
Ryerson University
Seneca College
Sheridan College
University of Guelph
University of Guelph-Humber
University of Toronto
University of Toronto - Mississauga (UTM)
University of Toronto - Scarborough (UTSC)
University of Waterloo
Western University
Wilfrid Laurier University
York University
York University - Glendon Campus
Other
Expected Graduation Year (YYYY)
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Major/Field of Study:
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Language(s) spoken:
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Russian
Hebrew
French
Other
Other languages
Which high school did they attend?
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CHAT/CHAR
Other day school
Public school
Private school (secular)
Involvement on Campus (filled in by Interviewee)
Are you currently involved in a (non-Hillel) club/group on campus?
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Are you interested in being involved in any of the following within Hillel?
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General Hillel events
Leadership opportunities
Shabbat dinners
Jewish learning
Social events
Jewski (Russian-speaking initiative)
Social Justice programs
Long-term opportunities in Israel
Israel programming (Advocacy/Culture)
Paid internships on campus
Holocaust Education
Career Mentorship
Jewish Learning
Jewish holiday celebrations
Jewish sorority/fraternity
Multifaith programming
Toronto Jewish Grad Network (TJGN)
Varsity Jews Acapella choir
Other:
Do you have a part time/full time job?
Yes - Part Time
Yes - Full Time
No
Where do you work, and what is your title?
What are some of the words that come to mind when you think of Israel?
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3 words or more
What do you think the goals of Birthright Israel are?
*
What do you look forward to seeing on the trip?
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What are your expectations of the trip?
*
How do you describe yourself Jewishly?
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General comments:
Parent Information
Parent #1 Full Name
First Name
Last Name
Parent #1 Email
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Parent #1 Phone
Parent #2 Full Name
First Name
Last Name
Parent #2 Email
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Parent #2 Phone
Name
First Name
Last Name