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Alumni Registration


* Title
* First Name
* Last Name
* Street Address
Street Address Line 2
* City
* State
* Home Phone
Alternate Phone
E-mail Address
Last Year Attended DKJA
* Number of Years Attended DKJA
DKJA Grad (check highest level applicable)
8th Grade Grad  
High School Grad  
* High School(s) (if other than DKJA)
* College (s) or Universities
Highest Degree Earned
Occupation
Have you continued your Jewish education in any way since leaving DKJA?
Yes   No  
If yes, please specify all that apply:
College Courses  
Adult Education Courses  
Program in Israel  
Jewish Professional Studies  
Yeshiva  
Other  
While in college did you, or do you intend to participate in Hillel activities on campus (or a similar group)?
Yes   No  
Have you ever attended a Jewish summer camp either as a camper or as a staff member?
Yes   No  
Have you visited Israel since leaving DKJA?
Yes   No  
If yes, how many visits to Israel?
What is your marital status?
If not now married, to what extent are you committed to finding a Jewish spouse?
If not now married, do you date Jewish people exclusively?
Yes   No  
If married, is your spouse Jewish?
Yes   No  
If married, what is your spouse’s name?
If you have children, are you raising them in the Jewish faith?
Yes   No  
Do you plan on sending your children to…
Are you currently or have you ever been a dues paying member of a synagogue?
Yes   No  
Do you participate in any Jewish community activities?
Yes   No  
Have you ever donated money to any Jewish cause?
Yes   No  
"Quotable Quotes" We invite you to comment on your DKJA experience and how it influenced you


   
  
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