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YZL Registration
 
 

 

MAKE SURE YOU READ ALL THE INFORMATION ON THE YZL 2009 HOMEPAGE BEFORE YOU REGISTER.

Last name:
First name:
email:
Address
City:
State
Zip
Phone
( ) (xxx) xxx-xxxx
Cell
( ) (xxx) xxx-xxxx
Gender
Date of Birth
College/university
Major:
Year of Study
Religious affiliation
(in order to construct different Shabbat services)

 

Dietary Requirements
How did you hear about YZL?
What is your involvement in Israel activism on and off campus?
Have you previously attended a Hagshama event? If so, which one(s)?
Please write a short essay (150-250 words) describing why you want to attend the conference and how you believe you will benefit from the conference.
What do you feel you can bring to this conference?
How do you feel this conference will better prepare you to return to your campus as a leader?
We, the Hagshama Staff, aim to bring you discussions and workshops centered on themes that are of interest to you. What kind of topics you personally like to see more of this year?

Other:

 

   
 
•Copyright 2007, The Hagshama Department