Form

Online Inquiry Form

Please complete this form to request information on the MSNM program or to RSVP for an upcoming Information Session.
Full Name*
First Name Last Name
E-mail*
Phone Number
- Area Code Phone Number

Address*

What year did you receive your Bachelors Degree?*
List any other degrees you have completed.
Where did you learn about this program?
Referred by (student/alum name):
Are you currently employed?
If so, where?
Do you volunteer?
If so, where?
Please list any associations of which you are a member.
I am interested in the One-Evening-a-Week Program beginning:

June 19, 2013 September 2013
....

I am interested in the Accelerated Day Program. Next start date September 10, 2013
I would like to attend the MSNM Information Session on:
....

Please contact me for a personal appointment
Can't attend an Information Session? Call or email to set up a personal Information Session Monday through Thursday at Spertus . We can even set up a coffee date near your office. To arrange your personal Information Session, contact Admissions Director Susan Greenwald at 312.322.1707 or sgreenwald@spertus.edu.
* = required field

An initiative of Spertus
A Center for Jewish Learning and Leadership
Spertus is a partner in serving our community,
supported by the JUF/Jewish Federation of Metropolitan Chicago.
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Online Inquiry Form