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Your Contact Informaiton
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Parent Information
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Additional Information About You
I am in Freshmen Connection
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I am interested in:
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- Birthright Israel (Free Trip to Israel)
- Israel
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Please describe:
I consider myself to be:
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I spent a year in Israel
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If yes, Name of Program
I was in a Jewish Youth Group
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If yes, please choose all that apply
- USY
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- Young Judea
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Please specify:
I went to Jewish Summer Camp
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If yes, name of camp:
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