Northeastern University Hillel · New Student/Parent Registration

Student's Name

*

First Name

Last Name

Student's Email

*

Verify Email

*

Student's Phone #

*

Student Type

Undergraduate Student

Graduate Student

Expected Year of Graduation

*

2025

2026

2027

2028

2029

2030

Participating in NUin or Global Scholars this Fall?

*

NUin/Global Scholars Location?

*

City and Country.

Parent 1 Name

*

First Name

Last Name

Parent 1 Email

*

Verify Email

*

Parent 1 Phone #

*

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Parent 2

First Name

Last Name

Parent 2 Email

Verify Email

Parent 2 Phone #

Does Parent 2 have a different home address?

No

Yes

Parent 2 Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Do you have any questions for Hillel Staff?