Hillel Membership Form 2024-2025

To become a Hillel member at FAU, NSU, Lynn, PBSC, and BC, simply fill out this form. Hillel events and programs are FREE to members! There's never a charge or cost to attend!

Benefits of being a member of Hillel:

Be a part of a vast and diverse community
Free t-shirt + swag
Free food
Birthday shout out
Eligible to apply for student board and committees
Priority list for Hillel BPB Birthright Trips
May attend and propose an idea at board meetings
Welcome to attend Hillel events and programs free of cost

Your name: *

First Name

Last Name

Preferred Name:

Pronouns:

She/her/hers

He/him/his

They/them/theirs

Zi/hir/hirs

No pronouns

Not listed

Other

Cell Phone: *

Personal Email *

Please do not use your school email address.

Verify Email *

Your home address:

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

How do you identify? *

Reform Jew

Conservative Jew

Orthodox Jew

Modern Orthodox Jew

Spiritual Jew

"Just Jewish"

Ally/Friend of Jewish Community

When is your birthday? *

(mm/dd/yyyy)

Name of high school: *

I'd like to get coffee (FREE!) with one of the awesome Hillel staff members! *

Yes! Text me

Yes! Call me

YES!

Nah, I'm good

Have you been on Birthright? *

No! I wanna go with Hillel!

No! What is it?

YES! Take me back!

Campus: *

FAU

NSU

Lynn

PBSC

I am living... *

On campus housing

Off campus housing

At home (near campus)

Other

Expected Graduation Year: *

Student ID Number *

(*REQUIRED for NSU students* if unknown, put n/a)

Instagram Handle:

Area of study: *

Parent/Guardian Name: *

First Name

Last Name

Parent/Guardian Cell Phone: *

Parent/Guardian Email: *

Verify Email *

Parent/Guardian Name:

First Name

Last Name

Parent/Guardian Cell Phone:

Parent/Guardian Email:

Verify Email

What else should we know about you?

As a Hillel member, I will be curteous of peers' differing religious beliefs and values and be respectful to all staff and members of Hillel. *

Please type your full name above to ensure you understand.