Hartman Teen Fellowship: Open House Registration

Thank you for your interest in the Shalom Hartman Institute's Teen Fellowship! We will be hosting two informational Open Houses on May 21st @ 5:00pm PT / 8:00pm ET.

After submitting your information, you will be emailed the Zoom link.

This will be an opportunity to meet and engage with Teen Fellowship staff, faculty, and current Fellows. Join us to learn more about the program, and ask pertinent questions.

If you have any questions or concerns, please email us at amalya.sherman@shalomhartman.org

Title

First Name

Last Name

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Other Title:

Mobile:

I am a.....

What high school do you attend?

School Name

Please elaborate:

Mailing Address

Country

Provinces

City

Ontario - City

State

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Canadian Postal Code

Postal Code

US Postal Code

Demographic Information

We collect this information in order to better understand our participants and offer relevant content. This section is optional. All information is kept private and is not shared with any other entities.

Please specify your birthdate (MM/DD/YYYY):

Gender Identity

Pronouns

Gender Identity:

Pronouns:

With which Jewish denomination do you most identify?

Denomination:

I will be attending the following open house(s)

May 21st @ 5:00pm PT / 8:00pm ET

Salesforce IDs for participation records

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Seminar ID - Insert Seminar ID here as DEFAULT VALUE

Geographic Region Fields - DO NOT EDIT

US Geographic Region

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