Welcome Class of 2022

Student Name*

First Last

Email Address*

Please use your Columbia or Barnard email address, if you have it!

School*

Year*

Name of Gap Year Program

We'd love to give you a Columbia/Barnard Hillel t-shirt! What size would you like?*

Parent/Guardian 1 Name*

First Last

Parent/Guardian 1 Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent/Guardian 1 Preferred Phone*

Parent/Guardian 1 Preferred Email Address*

Parent/Guardian 2 Name

First Last

My second parent/guardian

Parent/Guardian 2 Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

My second parent/guardian

Parent/Guardian 2 Preferred Phone*

Parent/Guardian 2 Preferred Email Address

Did either of your parents attend Columbia and/or Barnard?*

Parent Name

First Last

School

Year

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Stay tuned for information on Jewish Life Orientation, and your first FREE Shabbat dinner on campus!