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Class of 2030 Contact Form

Home > Class of 2030 Contact Form

Class of 2030 Form

"*" indicates required fields

Name*

First Last

Nickname

Pronouns

Personal Email*

Cell Phone*

High School*

High School Graduation Year*

Home Address*

Street Address Address Line 2 City State ZIP Code

I am in a Jewish Youth Group*

Yes

No

If yes, please choose all that apply*

USY

NFTY

BBYO

NCSY

Young Judea

Other

I went to Jewish Summer Camp*

Yes

No

If yes, name of camp*

I am interested in (Select all that apply):*

Community Service/Social Justice

Alternative Breaks

Birthright Israel (Free Trip to Israel)

Israel

Jewish Learning

Shabbat

I want to get involved but I'm not sure where...

Other

My Jewish affiliation can best be described as*

Secular/Culturally Jewish

Reconstructionist

Reform

Conservative

Orthodox

Not Jewish

Other

Are you planning a visit to see UMD and Maryland Hillel?*

Yes

No

Not Sure

Date of visit

MM slash DD slash YYYY

Our staff will contact you about scheduling your appointment for the day of your visit.

Did you spend a gap year in Israel?*

Do you plan to commit to UMD?*

Yes

No

Unsure

Are you interested in FreshFest, our Jewish orientation program?*

Yes

No

Parent (1) Name*

First Last

Parent (1) Email*

Parent (1) Phone*

Parent (2) Name

First Last

Parent (2) Email

Parent (2) Phone

CAPTCHA

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