May 8 UJOC Application Form - Ultimate Jewish Experience

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Application For The Ultimate Jewish Online Course

Classes start Tuesday May 25, and run for 8 weeks

* Indicates required question

Email *

Your email

First Name *

Your answer

Last Name *

Your answer

Phone *

123-456-7890

Your answer

Date of Birth *

YYYY

Education

Current Status *

Undergraduate

Graduate Student

Recent Graduate

Other:

What is the name of your current university? *

If you already graduated, tell us the name of the school you attended.

Your answer

Are you a member of a fraternity or sorority? *

Yes

Pledging

Alum

If yes, please tell us which one *

If no, enter N/A

Your answer

Jewish Education During and/or After College

Have you completed any of the following programs? *

Select all that apply

Maimonides Fellowship (this includes Meor, Aish Leaders, JAC, or any similar program)

Sinai Scholars

Post-college/Young professional learning programs that offer a stipend or Israel trip (for example: the Chevra, JEC, JPulse, etc)

NONE

Other:

Required

If you clicked any program above, please list the name of the program and when you completed it *

If you selected multiple programs, list all dates (program name - date). If you selected NONE, enter N/A.

Your answer

Did you go to Israel with Birthright? *

Yes

Have you been to Israel on a subsidized program? *

In addition to (or instead of) Birthright.

Yes

If you entered "yes" above, please enter the name and date of the program *

If you selected multiple programs, list all dates (program name - date). If you selected NONE, enter N/A.

Your answer

Jewish Background

Please describe your Jewish affiliation before college *

Choose the one that fits best

Reform

Conservative

Orthodox

Reconstructionist

Renewal

Post-denominational

Unaffiliated

Chabad

Just Jewish

Something else

Family History *

Please select all that apply

Both my parents were born Jewish

Only my mother was born Jewish

Only my father was born Jewish

Neither of my parents were born Jewish

My parents were born Jewish, but one of my grandparents converted to Judaism

Please explain any conversion history if applicable *

If not applicable, enter N/A

Your answer

Almost Done!

How did you hear about The Ultimate Jewish Online Course? *

If a specific person referred you, please tell us his/her name. If it was more than one person, enter both names.

Your answer

Anything else? *

Please let us know anything else you think we need to know about you

Your answer

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