Chabad 360° Student Form - Academic Year '27

Chabad 360° Student Form - Academic Year '27

Complete this application to help us learn about you.
Student Information
First Name
Last Name
Non-Brandeis Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Class Year
Senior Track
I'm applying for
Your Journey & Interest
Are you returning from last year or joining for the first time?
Tell us about your Jewish background, in brief.
Describe any previous Jewish learning or community involvement.
What draws you to Chabad 360°, and what are you hoping to gain?
Gathering Availability
Which gathering time works for you?
If neither evening at works, what other evenings and times do work?
Parent Information
Parent/Guardian 1 Name

First NameMiddle NameLast Name
Parent/Guardian 1 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian 1 Email
example@example.com
Sweatshirt size
Partnership & Scholarship
Chabad 360° costs $2,500 per semester or $5,000 for the year. Scholarships are available to anyone who requests one, and no one will ever be turned away for financial reasons.
Which option are you or your family considering?
Anything Else
Anything else you'd like to share about your interests, goals, or have questions?
T-shirt size
Should be Empty: