Hillel's of New York
Trip to the U.S. Holocaust Museum
in Washington, D.C.

This Trip is made possible by the generosity of the DAVID TAUB FAMILY

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Spring Trip March 8-9, 2008

First Name:*

Last Name:*

Address:*

City:*

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Zip Code:*

Current student: Yes No

Phone Number:*

Email:*

Expected year of Graduation:*

Name of School:*

Age:*

Major

Where would you like to leave from? Brooklyn Queens Manahttan*

Have you ever been to the Holocaust Museum before? Yes No

If yes, when and on what program?

Are you involved with any groups on campus? Yes No

If yes, which groups?

Name of your school Hillel director:

Country born in:

Languages other than English that you speak:

Have you ever been to Israel before? Yes No

If yes, when? and which programs?

How did you hear about this trip?

Would you be willing to plan a Holocaust program on your campus, with our support? Yes No