KAHAL New Participant Sign Up

Contact Information

First Name

Last Name

Preferred Name or Nickname

This way we can address you respectfully in conversation and communication.

Please select your pronouns (select all that apply)

Please describe your pronouns

Date of Birth

Entwine programs are geared towards young professionals in their 20’s and 30’s

Street Address

Postal Code

City

State

Country

Provinces

Email (Personal)

Phone Number (Mobile)

Contact Number while abroad (if different)

Instagram/Social Media

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Referral Information

How did you hear about KAHAL?

Campus Rep/Global Ambassador Name

Student Academic Information

Home University (if not listed, select Other)

Home University (if not listed above)

Graduation Year

Greek Affiliation

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By typing my name below, I hereby certify that all above statements are true to the best of my knowledge.

Prefer not to answer	Ashkenazi	Bukharian
Conservative	Culturally Jewish	Ethiopian
Hasidic	Indian	Interfaith/multifaith
Jew by Choice	Jewtina/o	Mizrahi
Modern Orthodox	Multiethnic or multiheritage	Nondenominational
Not Jewish	Orthodox	Persian
Pluralistic	Reconstructionist	Reform
Renewal	Russian Speaking Jew (RSJ)	Secular
Sephardi	Spiritual	Prefer to self-identify