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Connect Students

Gain Access - Students

Freshman? Newly transferred to Kennesaw State? Fill out this form to gain access to awesome programming by the Chabad Jewish Student Center. And don't forget to claim your complimentary swag bag filled will an array of Chabad goodies!
CONTACT:
Full Name*
First NameLast Name
Mobile Number*
Area CodePhone Number
Personal Email*
Your Birthday*at Chabad we celebrate birthdays!
MonthDayYear

Permanent Address*Your home address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

I'm attending:*Your School
Affiliation*
UndergradGrad Student
Graduation Year*
I am*
Jewish and want to get involvedNot Jewish but think you guys are cool!
PARENTS:
My parents live in the same householdMy parents live in different households
Mother's Info
Mother's Full Name
First NameLast Name
Mobile
Area CodePhone Number
E-mail

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Father's Info
Father's Full Name
First NameLast Name
Mobile
Area CodePhone Number
E-mail

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Should be Empty:

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