[Hidden: Page Title]Welcome to Hillel JUC!Which one of the following are you?*A First-Year Student at a Pittsburgh-Area University or CollegeA Returning (Non First-Year) Student at a Pittsburgh-Area University or CollegeAn Admitted/Enrolled Student Expecting to Attend a Pittsburgh-Area University or CollegeA Prospective Student Looking to Attend a Pittsburgh-Area University or CollegeYour InformationName* First Last Personal Email* School Email* Mobile Phone*Academic InformationSchool*University of PittsburghCarnegie Mellon UniversityDuquesne UniversityChatham UniversityPoint Park UniversityCarlow UniversityRobert Morris UniversityCommunity College of Allegheny CountyThe Art Institute of PittsburghSchool(s) of Interest* University of Pittsburgh Carnegie Mellon University Duquesne University Chatham University Point Park University Carlow University Robert Morris University Community College of Allegheny County The Art Institute of Pittsburgh Education Level*- Select One -Undergraduate StudentGraduate StudentWould you be transferring from another college or university?*YesNoAre you transferring from another college or university?*YesNoWhich college or university?Anticipated High School Graduation Year*Projected Year of Graduation:*Intended Major(s)/Minor(s):Graduate Program:*This year, I live...*On-CampusOff-CampusDorm NameFirst-Year Dorm Name*Where?Your Home InformationParent(s)/Guardian(s) Name(s)*Parent(s)/Guardian(s) Email*Parent(s)/Guardian(s) Phone Number*Home Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Your InterestsYour Birthright Israel Experience*Eligible Jewish students (practically every Jewish student) is gifted a no-fee 10-day trip to Israel with two of our staff and your fellow Pittsburgh-area Jewish students! We offer trips every winter and summer break.Sign me up for the next trip!I'm interested in participating over a summer break!I'm interested in participating over a winter break!I'm interested! Send me more information!I think I am not eligible for Birthright Israel.I'm not interested in Birthright Israel.Your Birthright Israel Experience*Eligible Jewish student (practically every Jewish student) is gifted a no-fee 10-day trip to Israel with two of our staff and your fellow Pittsburgh-area Jewish students! We offer trips every winter and summer break.I'm interested! Send me more information!Sign me up for the next trip!I've already been on Birthright Israel with Hillel JUC!I've already been on Birthright Israel, but not with Hillel JUC.I'm interested in participating over a summer break!I'm interested in participating over a winter break!I think I am not eligible for Birthright Israel.I'm not interested in Birthright Israel.Why is that?Which year?I'm interested in:*Please check all that apply! A Cappella Singing Theater / Performing Arts Fine / Visual Arts Social Justice Volunteering Challah for Hunger: Baking and Advocacy Alternative Spring Break Israel on Campus / Israel Groups Travel to Israel Hebrew Conversation Group Russian Conversation Group Global Jewish Cultures / Traditions Marketing Internship Engagement Internship Other Internship Opportunities Jewish Greek Life Jewish Greek Life Leadership Opportunities Peer Mentorship Program Hillel Student Leadership Positions Shabbat/Holiday Leadership Opportunities Jewish Learning Fellowships Exploring Pittsburgh Leadership Training / Development Attending Jewish Collegiate Conferences Cooking Sports / Athletics Meditation / Yoga LGBTQIA Group Take-Out Shabbat/Holidays Please list any other interests that were not provided above:If applicable, which Greek organization are you a member of?What other campus organizations are you involved with?How do you identify Jewishly? What's your Jewish flavor?Please check all that apply! Not Jewish Orthodox Traditional Reform Conservative Reconstructionist Just Jewish Cultural Secular Ashkenazi Sephardi Mizrachi Israeli Bnei Anousi Beta Israel Russian-Speaking Please list any other options not provided above:I was involved with the following Jewish Youth Group(s)/Movement(s): NFTY USY NCSY BBYO Young Judea Other Which other one(s)?*Did you go to a Jewish Summer Camp?YesNoWhich one(s)?*Visit Us!Do you currently have plans to visit campus?*Yes! And I'll have time to visit Hillel!Yes, although I do not have time to visit Hillel.No, I currently do not have plans to visit campus.Tell us more about your visit.*We'd love to show you our building, tell you more about our programs and communities, discuss Jewish life on campus, and answer any questions you have! We're located at 4607 Forbes Ave. Pittsburgh, PA 15206. We may be able to have a Hillel staff or student meet you on campus if that is preferred. Please note that this is only for a Hillel tour; Campus tours must be booked through the university.Other InformationPronounsI prefer not to answerHe/Him/HisShe/Her/HersThey/Them/TheirsEy/Em/EirsZie/Zim/ZirsOtherFacebookInstagramSnapchatDo you have any questions we can help answer?Is there anything else you'd like us to know about you?NameThis field is for validation purposes and should be left unchanged.