Michigan Hillel · Prospective Parents

Your Name *

First Name

Last Name

Phone Number *

Email Address *

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Home Address *

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City

State/Province

ZIP/Postal Code

Country

I/we are curious or have questions about: *

Tell us about your prospective student

Student's Name *

First Name

Last Name

Student's Phone Number

Student's Email

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Currently a: *

Identify as: *

Orthodox

Reform

Conservative

Reconstructionist

Just Jewish

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Other

General interests or hobbies:

Sports, Jewish life, sports, jobs, theatre, music, etc.

Major/minor study interests at UM:

When are you planning on visiting campus?

Yes

No

Already have

When?