Shaare Emeth College Connection Form

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Submit your college-age student’s contact information now! Once we have their info, they’ll start receiving holiday goodies and information about opportunities to connect while they’re at school! College Connection sign-ups run annually. Please make sure you submit your student’s information each school year!

* Parent (Shaare Emeth Member) First Name

Parent (Shaare Emeth Member) Last Name

* Parent (Shaare Emeth Member) Email Address

* Student's Preferred Name

* Student's Last Name

* Student's Email Address

* Student's Cell Phone

Student's Pronouns (Optional)

Student's Birthdate

High School Graduation Year

* College/University Name

* Anticipated Year of Graduation

* Student School Address Line 1

Student School Address Line 2

* Student School City, State, Zip

Tue, September 26 2023
11 Tishrei 5784

Tue, September 26 2023 11 Tishrei 5784