First Name * Last Name * Former Last Name Date of Birth * יום12345678910111213141516171819202122232425262728293031 יום חודשינו'פבר'מרץאפר'מאייונייוליאוג'ספט'אוק'נוב'דצמ' חודש שנה194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026 שנה Years of Study (eg. 1986-1987) Hometown during studies at the HU * Country of residence during studies at HU * ID#/Student Card (optional) Phone # Email * Current Country of Residence * Occupation Company Name How did you learn about us * Please chooseSearchEmailFacebookTwitterLinkedinPressTVOther I would like to receive updates and newsletter from the HU Alumni Association Yes, I would By checking this box I confirm that I would like to receive invitations, newsletters and promotional materials from the Hebrew University Alumni Association and it's Friends Organizations. This consent nullifies any previous unsubscribe requests. I agree that my information may be shared among these offices. By checking this box I confirm that I am a Hebrew University of Jerusalem/Rothberg International School Alum and all of my personal details are correct. * Yes Did you study at Rothberg International School or its predecessors? Yes Complete the following Program of Study Please chooseOne Year Program (including semester option)/Undergraduate Study Abroad ProgramPreparatory Program/Mechina/Basis/Yesod/Four Year ProgramFreshman/ Freshman & Gap Year/First-Year Study Abroad ProgramBASP (British and Australian Semester Program)NATIVNachshonThriveSadara/KidmaSTEAMDanceJerusalemArtJerusalemSpring in Jerusalem/Honors ProgramJerusalem SoundsTechnology & Innovation InternshipRimonIFSA/Diversity & CoexistenceUndergraduate ExchangeGraduate/MA Program (degree or non-degree)Visiting ResearcherGraduate ExchangeUlpan (summer, fall, winter)Summer/Short-term Program (excluding Hebrew)Semester or year Hebrew StudyArabic Immersion Program/Semester or year Arabic StudyInternship ProgramSpecial Graduate Program (eg. PBI, Krupp, Wallenberg)Can’t Remember If Other or Special Graduate Program, Please Speicfy Register/Update
