Register Step 1 of 2 50% Student DetailsName* First Last Home Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone*Cell Phone*Email* Anticipated College Graduation Year*20202021202220232024Please provide your University ID*Student Birthday*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920I consider myself to be: Jewish - Just Jewish Jewish - Reconstructionist Jewish - Reform Jewish - Conservative Jewish - Orthodox Not Jewish I am involved in Greek Life at UMDYesNoWhich Greek House are you in?Alpha Chi OmegaAlpha Delta PiAlpha Delta PhiAlpha Epsilon PiAlpha Epsilon PhiAlpha Omicron PiAlpha PhiAlpha Xi DeltaAlpha Sigma PhiAlpha Tau OmegaBeta Theta PiChi PhiDelta ChiDelta Delta DeltaDelta GammaDelta Phi EpsilonDelta Sigma PhiKappa Alpha OrderKappa Alpha ThetaKappa DeltaKappa Delta PhiKappa SigmaLambda Chi AlphaPhi Delta ThetaPhi Gamma Delta (Fiji)Phi Kappa PsiPhi Kappa TauPhi Sigma SigmaSigma ChiSigma Delta TauSigma Gamma RhoSigma KappaSigma NuSigma Phi EpsilonTau Kappa EpsilonTEPTheta ChiZeta Beta TauZeta PsiZeta Tau Alpha Parent 1 InformationName* First Last Email* Is the address for Parent 1 the same as student?*YesNoParent 1 Home Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parent (1) Home Phone*Parent 1 Cell Phone*My Parent 1 is a UMD alumnus/alumna*YesNoParent 1 UMD graduation yearParent 2 InformationParent 2 Name First Last Parent 2 Email Is the address for Parent 2 the same as students?YesNoParent 2 Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parent 2 Home PhoneParent 2 Cell PhoneMy Parent 2 is a UMD alumnus/alumnaYesNoParent 2 UMD graduation yearData SourcePhoneThis field is for validation purposes and should be left unchanged.
