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Know someone going to college? Chabad on Campus is here for them!

Do you have a friend or relative who will be attending university? Help them join a vibrant, welcoming Jewish student community: Connect them to their local Chabad on Campus student center. Simply complete this short form; we'll take care of the rest.

Your Info:

Name:  

Email:

Student #1 Info:

Name*:  

Year:

University*: 

Email:   

Telephone:  
 

Student #2 Info (if applicable): 

Name*:  

Year: 

University*: 

Email:   

Telephone:  

 

Comments:

 

Please submit this form again for additional referrals.

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