Rutgers Hillel · Parent Info Form

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Join the Parents Network at Rutgers Hillel!

Please take a moment to provide your information in the form below to join our Parents Network. After connecting, we will keep you posted about Family Homecoming weekend, Family Shabbat Dinners, Birthright, and ways to support your children while at Hillel on their Jewish journey. All information you provide us will be kept confidential and will not be sold or shared outside of Rutgers Hillel.

EMERGENCY CONTACT(S)

Parent/Guardian Name #1 *

First Name

Last Name

Home Address #1 *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Parent Phone #1 *

Parent Email #1 *

Verify Email *

Parent #1 is a Rutgers Alumni?

Yes

Parent/Guardian Name #2

First Name

Last Name

Address same as above

Yes

Home Address #2

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Parent Phone #2

Parent Email #2

Verify Email

Parent #2 is a Rutgers Alumni?

Yes

Child's Name *

First Name

Last Name

Child's Nickname

Child's Birthday

(mm/dd/yyyy)

Child's Cell Phone *

Child's Email *

Verify Email *

Your child is a(n): *

Incoming Freshman

Current Student

Transfer Student

Graduate Student

Child's proposed Graduation Year *

Anticipated Major

CHILD'S INVOLVEMENT & INTERESTS

If you or your family belong to a synagogue or temple in your home town, please share which one:

Fraternity/Sorority (if involved)

Is your child interested in going on a Birthright Israel trip?

Yes

Please share any Jewish Involvement your child may have had (youth movement, camp, etc)

BBYO

USY

NCSY

NFTY

Young Judea

Camp Ramah

URJ Camp

Other Involvement

If Other, please share here:

Our Hillel is your organization. Feel free to share with us any questions or ideas you may have!

Our staff will email or call you to follow up.