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Jewniversity 2022 Payment Form
We are thrilled to welcome Jewniversity participants to campus this fall! The Jewniversity program fee is $180 per student, which covers the cost of meals, swag, and reservations.
Questions? Please contact
Hannah Rosenberg
, Engagement Director.
Student Information
Student Name
*
First Name
Last Name
Student Email Address (Drexel email)
*
Verify Email
*
Student Email (not through Drexel)
*
Verify Email
*
Student Cell Phone
*
Student's Anticipated Graduation Year
*
(Format: YYYY)
Student's College
*
select one
Close School of Entrepreneurship
College of Arts and Sciences
College of Computing & Informatics
College of Engineering
College of Medicine
College of Nursing and Health Professions
Dornsife School of Public Health
Goodwin College of Professional Studies
Kline School of Law
Lebow College of Business
Pennoni Honors College
School of Biomedical Engineering Science and Health Systems
School of Education
Westphal College of Media Arts & Design
Undecided
Parent Information
Parent 1 Name
*
First Name
Last Name
Parent 2 Name
First Name
Last Name
Parent 1 Email Address
*
Verify Email
*
Parent 2 Email Address
*
Verify Email
*
Parent 1 Cell Phone
*
Parent 2 Cell Phone
*
Parent 1 Mailing Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Does Parent 2 also live at this address?
*
Yes
No
Parent 2 Mailing Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Emergency Contact Information
Who is the student's emergency contact person?
*
Parent 1
Parent 2
Other
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone Number
*
Relationship to Student
*
Additional Information
What is your relationship with the Jewniversity participant?
*
Parent
Self
Other
If other:
*
Your Email Address
*
Verify Email
*
Would you like to sign up to receive occasional email updates from Drexel Hillel?
*
Yes, I would like to hear about what's happening on campus.
Not right now.
Would you like us to also sign your parents up for occasional email updates?
*
Yes, my parents would like to hear about what's happening on campus.
Not right now.
Payment
Jewniversity Fee - $180
*
$
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