Open Doors Survey - Post High School

By completing this form you will be eligible to win one of 10 cash gift cards up to $150 from USCJ.
For those of you going to campus in the fall, Hillel will mail you a giveaway.

After high school there are so many ways to connect with the people, experiences and opportunities that matter in your life through your Jewish community. Complete this short survey so know how to stay in touch and what interests you the most. We can help you open new doors in your next steps no matter where you are headed.

Your Name

First Name *

Last Name *

Contact Information

Email Address *

College/University Email Address

Cell Phone Number *

What Year Did You Graduate High School?

Please enter 4 digit year (ie, 20YY)

Graduation Year *

What are your plans for 2022-2023?

Future Plans *

Full Name of College or University *

When will/did you start college? *

Please identify the branch of the military in which you will be enlisting *

Please identify the name of the Gap Year program you will be participating in *

Other Future Plans

Home Address (Parent 1/Guardian)

Street Address *

City *

Zipcode/Postal Code *

Country

State/Province *

My Parents/Guardians Have Two Separate Addresses

My Parents/Guardians Have Two Separate Addresses *

Yes

Home Address (Parent 2/Guardian)

Street Address

City

Zipcode/Postal Code

Country

State/Province

Preferred Pronouns (Check All That Apply)

He/Him/His

She/Her/Hers

They/Them

Other

Other Pronoun(s)

Mailing Address for Fall 2022

If you don't know the city/state where you will be in the fall, please enter your home information instead.

City *

Country

State/Province *

Zipcode/Postal Code

Street Address

My Conservative Synagogue

If your family is not a member of a conservative Synagogue, please select the option that best reflects your affiliation

My family does not belong to any congregation

My family belongs to a congregation that is not affiliated with the Conservative movement

If your family is a member of a Conservative synagogue, start typing your synagogue's name or city below to select ...

Synagogue

Youth Group Participation

If you particiapted in USY, please indicate your region

USY Region

Other Youth Group

Summer/Travel Program Participation

Summer Program

Camp Ramah Overnight or Day Camp

USY Teen Travel Programs

Other summer camp(s) or program(s)

USY Teen Travel Program

USY Dream

USY Israel Pilgrimage/EPIC Israel

USY on Wheels

USY Tivnu

Jewish Day School Info

If you went to a Jewish day school, please select which grade levels

Elementary

Middle School

High School

Please enter the name(s) of the Jewish day school(s) you attended

I give USCJ/Ramah permission

Read our data privacy disclaimer here.

To share my name, email, home address with Hillel International and the campus I listed

Yes

To request updates on my college email address through Hillel

Yes

To connect me with Jewish communal partners offering opportunities that match my location or expressed interests

Yes