Stay Connected

Please fill in all of the applicable sections and then click SUBMIT at the bottom of the form. Any fields that are starred (*) MUST be filled in.

*Name (please include title)

Maiden Name (if applicable)

Spouse's Name (please include title)

*Hillel Class of

Years at Hillel if not a graduate

Address (please include city, st, and zip)

Home Phone #

Business Phone #

Cell Phone #

I am interested in alumni activities.

Yes

College Attending

Expected Graduation Date

Major

College Attended

Year of Graduation

Degree

Graduate Degree

Occupation

Company/Business Name

Does your company have a matching gift program?

Yes

If you give to the annual fund, please describe why you give!

Children's Names and Birthdates

Do they attend a Jewish Day School?

Yes

Name of school other than Hillel.

First name, last name, maiden name, phone # and/or email

Any news you would like to share for the alumni section of the Divrei?

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