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Student Connection
Welcome to Hillel at the Claremont Colleges! We're excited to get to know you.
Parents & Alumni, please
use this other form
.
Name
*
First Name
Last Name
Preferred Pronouns
College
*
Which college do you attend?
select one
CMC
Harvey Mudd
Pitzer
Pomona
Scripps
CGU
Keck
Class Year
*
What is your anticipated year of graduation?
select one
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
Email
*
Verify Email
*
Phone (Mobile)
*
Home Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Background
Anything you'd like to share about yourself to help us get to know you better? What are you especially interested in?
Parent Information
Parents LOVE to get updates from Hillel. Don't worry, we won't spam them. It's also helpful to have this information in case of an emergency.
Parent 1 Name
*
First Name
Last Name
Parent 1 Email
Verify Email
Parent 1 Phone
*
Parent 2 Name
First Name
Last Name
Parent 2 Email
Verify Email
Parent 2 Phone
Home Address Belongs to...
*
Both Parents
Parent 1
Parent 2
