Lev L’lev Student Signup Testtruefalse Primary affiliationNoneYachadMakor Student Signup FormWelcome! If you would like to learn a Jewish topic with a hand-picked study partner - then you've come to the right place! Fill us in on some details and we'll get to work! How did you hear about Lev L'Lev? Please select the appropriate sign-up option:Please select...I would like to learnI am signing up on behalf of someone else who would like to learn Who should be our primary point of contact regarding this student?Please select...MeThe studentPlease fill in your information in this section and the student's information below What is your full name? What is your relationship to the student? Your preferred email address: Your Mobile Phone (only enter numbers and please include the country code) e.g. In US: 13015551212, In Israel: 972585551212Student's details First Name Last Name CountryPlease select...United StatesIsraelArgentinaAustraliaAustriaBelgiumBrazilCanadaChileColombiaFinlandFranceGeorgiaGermanyGhanaHungaryIrelandItalyJapanMexicoNetherlandsNew ZealandNigeriaNorwayPanamaPolandPortugalRomaniaRussiaSouth AfricaSpainSwedenSwitzerlandThailandTurkeyUkraineUnited KingdomVenezuelaVirgin Islands, BritishOther City State GenderPlease select...MaleFemale Date of birth Does the student have their own email address?Please select...YesNo Email Does the student have their own mobile number?Please select...YesNo Mobile Phone (only enter numbers and please include the country code) e.g. In US: 13015551212, In Israel: 972585551212 Jewish Heritage: About the student:Please select...Born JewishConverted to JudaismIn conversion processNot Jewish, curious about Judaism The student currently identifies as:Please select...ReformConservativeOrthodoxUnaffiliatedOther Student's father:Please select...Born JewishConverted to JudaismUnsureNot Jewish Student's mother:Please select...Born JewishConverted to JudaismUnsureNot Jewish My Jewish Heritage: About me:Please select...Born JewishConverted to JudaismIn conversion processNot Jewish, curious about Judaism I identify as:Please select...ReformConservativeOrthodoxUnaffiliatedOther My dad:Please select...Born JewishConverted to JudaismUnsureNot Jewish My mom:Please select...Born JewishConverted to JudaismUnsureNot Jewish Contact Information
