ADL Basic Form Template
Registration Form for Antisemitism on Campus by ADL and Hillel International
Please complete the fields below to gain access to this learning experience. You will be redirected and prompted to begin the course after clicking “submit”.
What is you school's domain name? This is the end of your email address please use the format @xxxx.edu (eg.@umich.edu)
Do you identify as Jewish (religion, ethnicity, spirituality, and/or culture, etc.)?
Yes
No
It's Complicated
What prompted you to take this module? (choose all that apply)
It is part of a class assignment
I think learning about Jewish identity and antisemitism is important being an inclusive student leader.
I am interested in the topic
I have experience or witnessed antisemitism
My school encouraged participation
reCAPTCHA helps prevent automated form spam.
The submit button will be disabled until you complete the CAPTCHA.