Minnesota Hillel Multi Campus Interest Form
As we continue to build our Multi Campus Program at Minnesota Hillel, we are working to learn more about our students and gauge interest in what our they need most. Please fill out this form to help us learn how best to support our students. Questions? Reach out to Sam at sam@mnhillel.org
Name
*
First Name
Last Name
Pronouns
Birthday
 -
Month
 -
Day
Year
Date
Which Minnesota school do you attend
*
University of Minnesota - Twin Cites, University of Minnesota - Duluth, Augsburg University, University of St Thomas, etc.
Email
*
Phone Number
*
Instagram
Permanent Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
Parent/Guardian Email
*
What type of programming is most beneficial for you?
Hillel programming on YOUR campus
Hillel programming at the Hillel Building
Virtual programming
Passive Engagement (sending matza, sending shabbat materials, etc)
How do you prefer to learn about what opportunities exist at Minnesota Hillel?
Text
Email
Instagram
MyHillel
Website
What opportunities do we not provide for Multi Campus students that you think would be beneficial?
Submit
Should be Empty: