College Connection Registration Form

NSS Beth El Sisterhood College Connection is designed to keep in touch with our college students. Our program for the 2020-2021 school year will include incredible holiday packages, and emails about opportunities for Jewish college students. There is no charge, but in order to receive the benefits, you must fill out and submit the form below. One form should be completed for each student enrolling. You can submit it at any time during the year.

Remember, even if all of your information is the same as last year, you must fill out a new form each year! You will need your school calendar to fill out this form correctly.
Student Name*
First Last
What year are you in school?*
- Freshman
- Sophomore
- Junior
- Senior
- Grad Student
What school do you attend?*
When do classes start this year?
Please include month/date/year that your school begins.
Student's address at school*
Street Address Address Line 2 City State ZIP Code
Student Cell Phone Number*
Student Email Address*
Will you be studying abroad this year?
- Yes - in the fall semester
- Yes - in the spring semester
- No
When is your school's winter break?
Please list the date your winter break begins even if it starts on a weekend.
When is your school's spring break?
Please list the date your spring break begins even if it starts on a weekend.
Parent #1 - Name*
Parent #1 - Email*
Parent #1 - Phone*
Parent #2 - Name
Parent #2 - Email
Parent #2 - Phone
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