One moment please...
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
City
State
State/Province
ZIP/Postal Code
Country
Parent Phone #1
*
Phone #1 Type
*
select one
Cell
Home
Work
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
City
State
State/Province
ZIP/Postal Code
Country
Parent Phone #2
Phone #2 Type
select one
Cell
Home
Work
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
*
Child's Residence Hall
select one
Option 1
Option 2
Your child is a(n):
*
Incoming Freshman
Current Student
Transfer Student
Graduate Student
Child's proposed Graduation Year
*
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
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
No
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:
Which of these interest areas would your child like to learn more about?
*
Theater
A Cappella
Israel
Alternative Breaks
Jewish Learning
Jewish Holidays and Meals
Shabbat Dinners
Social Action
Community Service
Health and Wellness
Interfaith Events
Holocaust Remembrance
Jewish Allies & Queers (JAQs/LGBTQIA)
Russian-Jewish Club
Israeli-American Club
Dialogue and Identity
Sports
Cooking and Culture
Reform
Conservative
Orthodox
Just being Jewish
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.
