Student Information Form
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First & Last Name *
Preferred Nickname
Preferred Pronoun *
Cell Phone *
Vols Email *
I am a(n): *
UTK ID# *
Birthdate *
MM
/
DD
/
YYYY
Residence Hall
Fraternity/Sorority (if involved)
Proposed Year of Graduation *
College *
Major
Home Address *
Parent/Guardian #1 First & Last Name *
Parent/Guardian #1 Email *
Is Parent/Guardian #1 an UTK Alumnus?
Clear selection
Parent/Guardian #1 Address, if different than your home address
Parent/Guardian #2 First & Last Name
Parent/Guardian #2 Email
Is Parent/Guardian #2 an UTK Alumnus?
Clear selection
Parent/Guardian #2 Address, if different than your home address
Do you or your family belong to a synagogue or temple in your hometown?
Clear selection
Other Jewish involvement
How do you identify? *
Hillel at UTK provides many ways to be engaged. What are some things you are passionate about?
Are there other things you are interested in or that you would like us to know about you that we didn't include (like dietary restrictions/allergies, etc.)? Let us know below!
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