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Title
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First Name
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Last Name
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Street Address
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Street Address Line 2
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City
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State
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Home Phone
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Alternate Phone
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E-mail Address
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Last Year Attended DKJA
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Number of Years Attended DKJA
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DKJA Grad
(check highest level applicable)
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High School(s)
(if other than DKJA)
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College (s) or Universities
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Highest Degree Earned
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Occupation
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Have you continued your Jewish education in any way since leaving DKJA?
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If yes, please specify all that apply:
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While in college did you, or do you intend to participate in Hillel activities on campus (or a similar group)?
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Have you ever attended a Jewish summer camp either as a camper or as a staff member?
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Have you visited Israel since leaving DKJA?
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If yes, how many visits to Israel?
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What is your marital status?
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If not now married, to what extent are you committed to finding a Jewish spouse?
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If not now married, do you date Jewish people exclusively?
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If married, is your spouse Jewish?
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If married, what is your spouse’s name?
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If you have children, are you raising them in the Jewish faith?
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Do you plan on sending your children to…
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Are you currently or have you ever been a dues paying member of a synagogue?
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Do you participate in any Jewish community activities?
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Have you ever donated money to any Jewish cause?
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"Quotable Quotes"
We invite you to comment on your DKJA experience and how it influenced you
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