Please fill out this information to register for Hiding in Plain Sight: Is God Everywhere?
Semester:Adult Learning Summer 2022 Course Number:CIRCYA Course Section:4

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

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Country
Street address
Street 2
City
State
Zip Code Zip Code Extension
Province
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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Although Hebrew College doesn’t require that you share your birthdate, we’ve found that including your birthdate helps 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.
Alternative Gender Identity

genderqueer or gender fluid

questioning or unsure

trans man

trans woman

woman

additional gender category/identity: please specify

prefer not to disclose
If "additional gender category/identity", please specify
IF "Other", Please specify
My Pronouns (OPTIONAL: Hebrew College faculty and staff would like to utilize your pronouns.)
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.
Before clicking “Submit” to make your payment
After clicking “Submit,” expect a brief delay while “Waiting for hec-scansoftware.com” appears. Do not close your browser/tab before seeing the payment screen. If you’ve not paid the course fee, your registration is not complete (even if you receive a registration notification email).
Once at the payment screen, this course’s charge will appear. After clicking on “Pay the Balance,” you’ll be invited to enter your credit card information and finalize your transaction.
Please contact Anna at akatsevman@hebrewcollege.edu to ask any questions regarding your registration.

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