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Yes No Do you belong to a synagogue or temple in your home town? Yes No If 'yes', which one? Please check all that apply: Student Undergraduate Graduate Transfer Student Staff Alumnus Department: Are you interested in going on a Birthright Israel trip? Yes No Are you a Birthright Israel alum? Yes No Would you like to have a student mentor? Yes No Would you like to become a student mentor? Yes No Are you interested in leadership opportunities? Yes No Interests: Arts & Culture Social Social Justice Education/Learning Israel Other Check all interests about which you would like to learn more.Enter other area of interest Any ideas or questions for us?CommentsThis field is for validation purposes and should be left unchanged.
