Register Step 1 of 2 50% Student DetailsName* First Last Home Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest 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*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920I consider myself to be: Jewish - Just Jewish Jewish - Reconstructionist Jewish - Reform Jewish - Conservative Jewish - Orthodox Not Jewish I am involved in Greek Life at UMD Yes No Which Greek House are you in? Alpha Chi Omega Alpha Delta Pi Alpha Delta Phi Alpha Epsilon Pi Alpha Epsilon Phi Alpha Omicron Pi Alpha Phi Alpha Xi Delta Alpha Sigma Phi Alpha Tau Omega Beta Theta Pi Chi Phi Delta Chi Delta Delta Delta Delta Gamma Delta Phi Epsilon Delta Sigma Phi Kappa Alpha Order Kappa Alpha Theta Kappa Delta Kappa Delta Phi Kappa Sigma Lambda Chi Alpha Phi Delta Theta Phi Gamma Delta (Fiji) Phi Kappa Psi Phi Kappa Tau Phi Sigma Sigma Sigma Chi Sigma Delta Tau Sigma Gamma Rho Sigma Kappa Sigma Nu Sigma Phi Epsilon Tau Kappa Epsilon TEP Theta Chi Zeta Beta Tau Zeta Psi Zeta Tau Alpha Parent 1 InformationName* First Last Email* Is the address for Parent 1 the same as student?* Yes No Parent 1 Home Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest 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* Yes No Parent 1 UMD graduation year Parent 2 InformationParent 2 Name First Last Parent 2 Email Is the address for Parent 2 the same as students? Yes No Parent 2 Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parent 2 Home PhoneParent 2 Cell PhoneMy Parent 2 is a UMD alumnus/alumna Yes No Parent 2 UMD graduation year HiddenData Source CommentsThis field is for validation purposes and should be left unchanged. Δ
