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Shaare Emeth College Connection Form
Please verify reCaptcha before submitting the form.
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!
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Parent (Shaare Emeth Member) First Name
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Parent (Shaare Emeth Member) Last Name
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Parent (Shaare Emeth Member) Email Address
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Student's Preferred Name
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Student's Last Name
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Student's Email Address
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Student's Cell Phone
Student's Pronouns (Optional)
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Student's Birthdate
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High School Graduation Year
Please Select One
c/o 2024
c/o 2023
c/o 2022
c/o 2021
c/o 2020
c/o 2019
c/o 2018
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College/University Name
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Anticipated Year of Graduation
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Student School Address Line 1
Student School Address Line 2
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Student School City, State, Zip
Fri, May 30 2025
3 Sivan 5785
Fri, May 30 2025 3 Sivan 5785
