Hofstra Hillel General Information Card

*First Name
*Last Name
*Email Address
Residence Hall
Room Number
Cell Phone
*Home Address Street
Address 2
*Parent Name(s)
Parent Email(s)
*Which school do you attend?
*Class of
Minor (if applicable)
I consider myself
If other, please specify.
*Have you been to Israel?
 Yes  No  
If yes, on what program?
Would you like to visit Israel?
 Yes  No  
What are your interests?
 Community Service  Informal Jewish Learning  Intramural Sports
 Israel  Leadership Training  Learning Hebrew
 Jewish Greek Life  Jewish Women's Issues  Other
 Performing Arts  Shabbat/Jewish Holidays  Travel
Do you have specific interests, skills or talents?

Ph: 516.463.6922  •  Fax: 516.463.7439  •  hillel@hofstra.edu  •  213-A Mack Student Center 200 Hofstra University Hempstead, NY 11549

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