Please fill out this information to register for Inspired Leadership in Times of Crisis
Semester: 2020-2021 Academic Year Course Number: CIRCLC10 Course Section: 22

Student Information
Specific Information
Address
Spouse Information
Academic
Specific Information

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First Name
Middle Name
Last Name
Preferred Email Address:
Date of Birth
Pronoun

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Country
Street address
Street 2
City
State
Zip Code Zip Code Extension
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Telephone number (Please share your cell phone number, unless you’d like for us to contact you at a different number.) Telephone number (Please share your cell phone number, unless you’d like for us to contact you at a different number.) Area Code Telephone number (Please share your cell phone number, unless you’d like for us to contact you at a different number.) Exchange Telephone number (Please share your cell phone number, unless you’d like for us to contact you at a different number.) Number Telephone number (Please share your cell phone number, unless you’d like for us to contact you at a different number.) Extension Ext:

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Hebrew College now requires that you share your birthdate as a data security measure, to make sure the correct person is registered for the correct course, and to help us to avoid creating duplicate student records in our database.

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Please be sure that you use your Hebrew College email address if you are a current graduate student.
How did you hear about Hebrew College?
What Religious/Denominational movement do you identify with (if any?)
I understand that my picture may be taken during the course of this program, and I agree to its use on the website or in other promotional materials.
Previous experience with Adult Learning at Hebrew College
We are committed to accommodating students with accessibility needs, when possible. Check here if you have concerns about accessing course content or participating fully in class discussions.

Yes, I have accessibility needs.
We have updated our security settings and now require two-factor authentication in order to complete course registration. Returning students will be sent a link to the email on record that will now take you to the payment page. If you do not receive the email or no longer have access to the email account on record, please contact adultlearning@hebrewcollege.edu

New students will be taken directly to the payment page. You may experience a brief delay while “Waiting for hec-scansoftware.com” to appear. Do not close your browser/tab before seeing the payment screen. If you’ve not paid the program fee, your registration is not complete (even if you receive a registration notification email).

To avoid the 4% Convenience Fee for credit card transactions, you can select Check on the payment screen and pay by e-check or by mailing a check to Hebrew College (attention Business Office), include the program and student’s name in the memo, and send an email to adultlearning@hebrewcollege.edu to let us know a check has been mailed.

** NOTE: After submitting your registration, if you are taken to a login page or have any trouble registering, please contact Candace Lyons at clyons@hebrewcollege.edu or 617-559-8735 to complete your registration.**

To apply for tuition assistance or sign up for a payment plan please HIT SUBMIT, then email us at adultlearning@hebrewcollege.edu.

Please contact us at adultlearning@hebrewcollege.edu to ask any questions regarding your registration.

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