Student Info Form

Want to find out about Jewish Life on Campus?
Need to update your contact info?
Hillel will provide you info about Jewish campus events and holiday programs via our e-newsletter and campus mailings.

* First Name

* Last Name

* What University do you attend?

* Class of

* Undergrad or Grad?

* Email

* Cell/local Phone

Campus Box#

Local Address

Address Line 2

City

State

Zip Code

Date of Birth

Major

* Permanent Home Address

Address Line 2

* City

* State

* Zip Code

* Home Phone or Parent Cell

* Parent(s) Name(s)

* Parent's Email (1)

Parent's Email (2)

Relatives who are Wash U Alumni

Other Interests

Occasionally Hillel gets requests for prospective students who would like a student host to show them around campus for a night.

Check all that apply

I am willing to host prospective students

I am able to host a Shomer Shabbos prospective

I would bring a prospective to Hillel on Friday night

* Indicates Response Required