One moment please...
ABOUT YOU
Name
*
First Name
Last Name
Pronouns
*
Birthday
*
(mm/dd/yyyy)
Email
*
Verify Email
*
Cell Phone
*
By providing your phone number, you agree to receive text messages from this organization. Message and data rates may apply. Message frequency varies.
Anticipated Graduation Year from Rutgers (YYYY)
*
I am a(n):
Incoming Freshman
Undergraduate Student
Transfer Student
Graduate Student
Major
School
select one
Middlesex County Community College
Edward Bloustein School of Planning and Public Policy
Ernest Mario School of Pharmacy
Graduate School of Applied and Professional Psychology
Graduate School of Education
Mason Gross School of the Arts
Robert Wood Johnson Medical School
Rutgers Business School
School of Arts and Sciences
School of Communication and Information
School of Engineering
School of Environmental and Biological Sciences
School of Graduate Studies
School of Health Professions
School of Management and Labor Relations
School of Nursing
School of Public Health
School of Social Work
What campus do you live on/nearest to this academic year?
*
select one
College Ave
Livingston
Busch
Douglass
Cook
Commuter (outside New Brunswick/Piscataway)
INVOLVEMENT & INTERESTS
Which of the following are you interested in being involved with at Rutgers Hillel?
*
Alternative Breaks
Arts and Culture
Health and Wellness
Holocaust Remembrance
Interfaith Events
Israel Programming and Education
Jewish Learning
Social Action and Community Service
Sports
Which of the following communities or clubs at Rutgers Hillel would you like to hear more about?
Kehillah (Reform) Community
Koach (Conservative) Community
Mesorah (Orthodox) Community
Jewish Allies and Queers (JAQs)
Russian-Jewish Club
Israeli-American Club
Sephardi Community
Are you a part of Greek Life? If so, please list your organization:
Do you want to be a part of Greek Life?
Yes
No
Are you interested in going on a Rutgers Birthright Israel Trip?
*
Yes
No
Were you involved in a Youth Movement before coming to Rutgers? If so, which one?
Does your family belong to a synagogue back home? If so, which one?
PARENT INFORMATION
Parent/Guardian Name #1
*
First Name
Last Name
Parent Address #1
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Parent Email #1
*
Verify Email
*
Parent #1 is a Rutgers Alumni?
*
Yes
No
Parent/Guardian Name #2
First Name
Last Name
Address same as above?
Yes
No
Parent Address #2
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Parent Email #2
Verify Email
Parent #2 is a Rutgers Alumni?
Yes
No
Did we miss anything? Feel free to share with us any questions you may have!
