College Connection - Form - Temple Dor Dorim

We want to stay connected. Our College Connection program is designed to help you, as a college student, feel connected to home and Temple Dor Dorim even while away at school.

The TDD College Connection program sends information and small gifts to students throughout the year, usually around the holidays. Many of our students at colleges in Florida also have the opportunity to meet up with current high schoolers touring the schools and with our professional staff.

If you have questions please contact Jamie Mafdali at JMafdali@templedordorim.org or 954-389-1232.

Collge Student's Information

First Name

Last Name

Birthday (DD-MM-YYYY)

* Cell Phone

* Email

College

* Your Address at School (Mail/Packages).
Please update each time you move.

I plan to live at this address until...

Year of High School Graduation

Year of Expected College Graduation

Since I've been in college, here are some of the things I've done.
OR
When I'm in college, here's what I'm looking forward to do.

Since I've been in college, I've connected Jewishly by...
OR
When I'm in college, I hope to connect Jewishly by...

I was a graduate of TDD's ECC (Early Childhood Center)!

Please select oneYesNoUnsure

If yes, what year?

I am interested in receiving...

Temple Dor Dorim's Newsletter by emailTemple Dor Dorim's weekly email and other TDD emailsInformation about Jewish activities on campusInformation about Birthright (a free trip to Israel)Something else (let us know below)Nothing, but thanks for asking

If you have already participated in Birthright Israel, please let us know when you went and with which group or provider.

Please add anything you'd like to share...

The last time I CALLED one of my parents was...

Parent/Guardian Information

Parent/Guardian(s) Name(s)

Parent/Guardian(s) Address

Other Amount

Total