Personal information First (given) name Middle Last (family) name Email address Birth date Primary phone # Secondary phone # (optional) Permanent address Address format United States International USA Street address Street address 2 City State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip code International Street address City State / province / region Zip / postal code Country - None -AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong S.A.R., ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe Academic information Academic status Current UK student or transfer student Incoming freshman (high school) Current information link blue ID ex: jsmit222 Primary major - Select -AnthropologyBiologyChemistryChinese Language and LiteratureClassicsEconomicsEnvironmental and Sustainability StudiesEnglishFLIEFrenchGender and Women's StudiesGeographyGeologyGermanHistoryHealth, Society, and PopulationsInternational StudiesJapanese Language and LiteratureLinguisticsMathematical EconomicsMathematicsNeurosciencePhilosophyPhysicsPolitical SciencePsychologyRussian StudiesSociologySpanishTopical StudiesUndeclaredWriting, Rhetoric, and Digital StudiesOther Other Secondary major Minor Expected graduation date Incoming information UK ID (if known) ex: jsmit222 Intended major - None -AnthropologyBiologyChemistryChinese Language and LiteratureClassicsEconomicsEnvironmental and Sustainability StudiesEnglishFLIEFrenchGender and Women's StudiesGeographyGeologyGermanHistoryHealth, Society, and PopulationsInternational StudiesJapanese Language and LiteratureLinguisticsMathematical EconomicsMathematicsNeurosciencePhilosophyPhysicsPolitical SciencePsychologyRussian StudiesSociologySpanishTopical StudiesUndeclaredWriting, Rhetoric, and Digital StudiesOther Other Work Experience/community service Have you worked or engaged in community service while attending school? Yes No Work Experience/community service Work experience / community service - additional Please list all organizations, dates, positions held and number of hours/week worked Essay questions Why do you wish to pursue a minor in Jewish Studies, what do you hope to learn, and what leadership skills, knowledge, or special contributions will you bring to the program? 750 words or less What are your current education and career goals, specific financial needs, and any special circumstances that should be considered by the scholarship committee? 250 words or less Form Submission I verify that the enclosed information is accurate to the best of my knowledge. Submission serves as a valid signature.