Hamilton Student Application
Name
First Name
Last Name
Email
example@example.com
Cell Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Current Student?
Yes
No
School
Current year
Expected graduation
Program/Major
Involvement with Hillel of Metro Detroit
What would encourage you to get more involved in Hillel of Metro Detroit?
I understand if I win this lottery I have until February 15 to pay $50 to secure my ticket. I also understand that this ticket is for my use exclusively, and cannot be transferred to anyone else. The ticket will be available for pick up at the theater between 6-7:30pm that evening with photo ID
*
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