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College Engagement Questionnaire
Please verify reCaptcha before submitting the form.
Within our Stephen Wise community we have a wide and powerful network; our members span the country as alumni and active participants on boards and organizations.
By completing the survey below, you will enable us to learn more about the connections and relationships our congregation has so that we might appropriately leverage our influence for the sake of current students as well as future generations. With your assistance, we will be able to respond swiftly and powerfully as a community.
All information will be kept confidential.
Personal Information
*
First Name
*
Last Name
*
Email
*
Preferred Phone Number
*
Type of Phone
Cell Phone
Home/Landline
*
College/University Attended
*
City of College/University
*
Degree/Major
*
Graduation Year
Did you attend Graduate School?
Please Select One
Yes
No
*
College/University Attended
*
City of College/University
*
Degree/Major
*
Graduation Year
Did you attend any other Graduate School?
Please Select One
Yes
No
*
College/University Attended
*
City of College/University
*
Degree/Major
*
Graduation Year
Did your spouse attend College?
Please Select One
Yes
No
N/A
*
College/University Attended
*
City of College/University
*
Degree/Major
*
Graduation Year
Did your spouse attend Graduate School?
Please Select One
Yes
No
*
College/University Attended
*
City of College/University
*
Degree/Major
*
Graduation Year
Did your spouse attend any other Graduate School?
Please Select One
Yes
No
*
College/University Attended
*
City of College/University
*
Degree/Major
*
Graduation Year
*
How many universities have your children attended for College/Graduate School?
Please Select One
0/NA
1
2
3
4
5
6
*
Child 1: College/University Attended
*
Child 1: City of College/University
*
Child 1: Degree/Major
*
Child 1: Graduation Year
*
Child 2: College/University Attended
*
Child 2: City of College/University
*
Child 2: Degree/Major
*
Child 2: Graduation Year
*
Child 3: College/University Attended
*
Child 3: City of College/University
*
Child 3: Degree/Major
*
Child 3: Graduation Year
*
Child 4: College/University Attended
*
Child 4: City of College/University
*
Child 4: Degree/Major
*
Child 4: Graduation Year
*
Child 5: College/University Attended
*
Child 5: City of College/University
*
Child 5: Degree/Major
*
Child 5: Graduation Year
*
Child 6: College/University Attended
*
Child 6: City of College/University
*
Child 6: Degree/Major
*
Child 6: Graduation Year
*
How many universities have your grandchildren attended for College/Graduate School?
Please Select One
0/N/A
1
2
3
4
5
6
7
8
9
10
*
Grandchild 1: College/University Attended
*
Grandchild 1: City of College/University
*
Grandchild 1: Degree/Major
*
Grandchild 1: Graduation Year
*
Grandchild 2: College/University Attended
*
Grandchild 2: City of College/University
*
Grandchild 2: Degree/Major
*
Grandchild 2: Graduation Year
*
Grandchild 3: College/University Attended
*
Grandchild 3: City of College/University
*
Grandchild 3: Degree/Major
*
Grandchild 3: Graduation Year
*
Grandchild 4: College/University Attended
*
Grandchild 4: City of College/University
*
Grandchild 4: Degree/Major
*
Grandchild 4: Graduation Year
*
Grandchild 5: College/University Attended
*
Grandchild 5: City of College/University
*
Grandchild 5: Degree/Major
*
Grandchild 5: Graduation Year
*
Grandchild 6: College/University Attended
*
Grandchild 6: City of College/University
*
Grandchild 6: Degree/Major
*
Grandchild 6: Graduation Year
*
Grandchild 7: College/University Attended
*
Grandchild 7: City of College/University
*
Grandchild 7: Degree/Major
*
Grandchild 7: Graduation Year
*
Grandchild 8: College/University Attended
*
Grandchild 8: City of College/University
*
Grandchild 8: Degree/Major
*
Grandchild 8: Graduation Year
*
Grandchild 9: College/University Attended
*
Grandchild 9: City of College/University
*
Grandchild 9: Degree/Major
*
Grandchild 9: Graduation Year
*
Grandchild 10: College/University Attended
*
Grandchild 10: City of College/University
*
Grandchild 10: Degree/Major
*
Grandchild 10: Graduation Year
Engagement
*
Do you donate regularly to any colleges/universities?
Please Select One
Yes
No
To which College(s)/University(ies) do you donate?
Amount of (typical) gift
$0-$1000
$1000-$10,000
$10,000 +
*
Do you sit on any college or university Board of Governors or Trustees?
Please Select One
Yes
No
On which College(s)/University(ies) Board(s) do you sit?
*
Are you a member of an alumni council/association?
Please Select One
Yes
No
Of which College/University Alumni council are you a member?
Are/Have you been a class officer?
Please Select One
Yes
No
*
Do you volunteer with an institution of higher education (admissions, parent council, reunion committee, other)?
Please Select One
Yes
No
Please list institutions and roles
Please describe any other involvement
*
Are you a board member and/or donor to Hillel, Chabad, or other Jewish organizations on campus?
Please Select One
Yes
No
Please list institutions and organizations
*
Do you have a personal relationship with senior university officials or trustees?
Please Select One
Yes
No
Please Describe
Willingness to Engage
How would you want to exert influence?
(Check all that apply)
Send an Email (prewritten)
Write an Email
Meet with President/Chancellor?
Organize a Campaign?
Host a Gathering?
Suspend or increase your giving based on policy statements or changes?
Other
If you selected 'other', please share your ideas
Sat, November 23 2024
22 Cheshvan 5785
Sat, November 23 2024 22 Cheshvan 5785