Name* First Last Last Name When in Camp (if different) Email* Phone*If international, please write (000) 000-0000 and fill out the field belowPhone (International)Home Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country What years did you attend camp (including staff years)?* Are you currently enrolled in High School, College, or a Trade School, or are you taking a "gap year"?*YesNoWhich best describes your current status:*High School StudentCollege/University StudentTrade School/Professional CertificationGap YearChoose all of the following that you are associated with:* NFTY BBYO USY None of the Above Where do you attend college?* What is your major/minor?* If you are involved in Greek life, to which Sorority/Fraternity to you belong? Are you involved with Hillel or other Jewish life on your college campus?* What other clubs or organizations are you involved with on your college campus? Are you willing to talk with prospective students interested in your school?*YesNoMaybeAre you looking to network with alumni for career development support?*YesNoMaybeIn what industry are you planning to enter?* What apprenticeship would you be interested in for career development?* Which camps did you attend? (please check all that apply) Camp Nah-Jee-Wah Cedar Lake Camp Teen Camp (TAC) Round Lake Camp Long Lake Camp Total Specialty Camps First Step Club Enjoy/Mountain Top Which camps did you work at? (please check all that apply) Camp Nah-Jee-Wah Cedar Lake Camp Teen Camp (TAC) Round Lake Camp Long Lake Camp Total Specialty Camps First Step Club Enjoy/Mountain Top Central Milford Central Como What social media channels do you engage with? Twitter Facebook Instagram LinkedIn What industry do you work in? I would like to be involved in the Alumni Association ________* Planning of social events Planning of professional networking Mentoring with young alumni Fundraising Volunteering my time at camp/year round Planning a reunion weekend at camp Recruitment of campers for camp Helping to run the Alumni Association Not right now but potentially in the future Δ