One moment please...
Name
*
First Name
Last Name
Mailing Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Email
*
Verify Email
*
Preferred Phone Number
*
Select Donation
*
$18
-
Student Outreach
$72
-
Wellness Packages
$180
-
Coffee and Schmooze
$360
-
Bagel Lunches
$500
-
Israel Advocacy Training
$1,000
-
Holiday Celebration
$2,500
-
Shabbat Dinner (in-person)
$
I am a...
*
select one
Parent
Grandparent
Community Member
Faculty
Alumni
Undergraduate Student
Graduate/Professional Student
Which school are you affiliated with?
University of Waterloo
Wilfrid Laurier University
Your spouse's name (if applicable):
First Name
Last Name
If your child/grandchild is on campus, what is their name?
First Name
Last Name
Which school does your child/grandchild go to?
University of Waterloo
Wilfrid Laurier University
What is their email address?
Verify Email
Graduation Year (Expected or Actual)
YYYY
Graduation Year (YYYY)
YYYY