FreshFest 2018 Registration

Application Deadline - Sunday August 5, 2018

Thanks for your interest in FreshFest!  Please complete the following registration. The registration should take approximately 15 minutes - Unfortunately, you cannot leave the application and log in to complete it later.

Registration includes the following sections:

  • Your Basic Info
  • More about you
  • Medical and Dietary Information
  • Emergency Contacts
  • Behavioral Expectations Agreement
  • Payment Information

Before you begin, please take a moment to "Like" Hillel at Binghamton on Facebook:  www.facebook.com/binghamtonhillel

 

YOUR BASIC INFO

First Name
Nickname (If Applicable)
Last Name
Phone
Date of Birth
Address
City
State
Zip

 

EMAIL ADDRESS

In the weeks leading up to FreshFest, we will be in touch with you about a few details.  Therefore, we need the email address that you use most often.

Binghamton Email Address (@binghamton.edu)
Addtional Email Address (If Applicable)
Addtional Email Address (If Applicable)

 

ACADEMIC INFORMATION

What type of incoming student are you?
 Freshman Student
 Israel Freshman Student
 Transfer Student
 
What school will you attend within Binghamton University?
 Harpur College
 Watson School of Engineering
 School of Management
 Decker School of Nursing
 College of Community and Public Affairs
 Binghamton Advantage Program
If you know what you intend to study, please indicate here:

 

FRESHFEST AND BEYOND!

FreshFest begins Sunday, August 19th with brunch and check in at 12pm with buses scheduled to depart campus around 2pm.

Hillel students will be offering campus tours to new students during the week and students are encouraged to take advantage of those tours to get to know the campus better.

What is your t-shirt size?
 Small
 Medium
 Large
 XL
 XXL
 
Have you been to Israel?
 No - but I want to!
 Yes - on a family trip
 Yes - on a high school trip
 Yes - I studied for a gap year before college
 Other
 

As a pluralistic, multifaceted Jewish organization, Hillel at Binghamton offers opportunities for many types of Jews. Please tell us a bit more about you!

Please tell us about your Jewish identity
 Reform
 Conservative
 Orthodox
 Reconstructionist
 Secular or Cultural
 Just Jewish
 
Are you interested in leading services? (optional)
 Yes
 Maybe
 
Hillel has several subgroups. Select any that you want more information about.
 Social Justice
 Israel Programming
 Challah for Hunger
 Kaskeset Jewish a Cappella Group
 Holocaust Education and Programming
 Jewish Learning Opportunities
 Holiday Celebrations
 First Year Programming
 LGBTQ+ Programming
 Publicizing Hillel
 Interfaith Programming
 Reform Programming
 Conservative Programming
 Orthodox Programming
 
How did you hear about this program? (check all that apply)
 Spoke to someone when I was a prospective student
 From a friend who previously did FreshFest
 At Summer Orientation
 A friend who is also going told me
 Email announcement
 Brochure in the mail
 Facebook announcement or invitation
 I was contacted by a FreshFest counselor
 Other
If you selected "Other" in the question above, please explain:

Do you have any friends that may be interested in attending FreshFest 2018?

 
His/Her Name
His/Her Email Address

 

MEDICAL INFORMATION

The information provided here will help the staff of Hillel at Binghamton provide or obtain appropriate medical care for you in the case of an emergency. This information will be kept strictly confidential, and will be viewed only by Hillel staff members and, if necessary, by health care providers charged with caring for you on site. If there are any changes to the information provided here between now and FreshFest, please bring these to attention of the Hillel staff.

No applicant will be turned away on the basis of his/her past or present medical or emotional care. By providing this information, you help us to provide the best care for you.

 
Do you have any special food needs?
 Vegetarian
 Vegan
 Lactose Intolerant
 Gluten Free
 No Special Food Needs
Please explain any special food needs.
Do you have any special needs? (Mobility, sight, hearing, etc.)

 

ALLERGIES

Food allergies - Please list any food allergies and note the manifestation and management of these allergies. For instance: Does the allergy cause an anaphylactic reaction? Stomach ache? Hives? Do you carry an epi-pen? Do you take Lactaid before dairy meals?

Other allergies - Please list any other allergies and note the manifestation and management of these allergies. (Example: Bee sting)

 

EMERGENCY CONTACT INFORMATION

In the case of an emergency, we need to be able to contact two people on your behalf.  Please complete the information below as completely as possible.

First Contact

First Name
Last Name
Cell Phone
Secondary Phone Number
Email Address
Relationship to You

Second Contact

First Name
Last Name
Cell Phone
Secondary Phone Number
Email Address
Relationship to You

If your parents do not live in the same location, please provide addresses for each of your parents and/or indicate which lives at your permanent residence.

If the emergency information above is not your parents, please provide your parents' contact information.

Feel free to provide contact information for any other family members, such as grandparents, aunts and uncles, so they can hear about Jewish life on campus.

 

Responsibilities and Expectations for Hillel at Binghamton FreshFest Participants

Please read this page and "sign" at the bottom.

To All Participants:

We are delighted that you are participating on Hillel's FreshFest Program for incoming Freshmen and Transfer students. Hillel is committed to providing all participants with a safe and enjoyable experience. Your safety and well-being are our top priorities.

Please review the following policies, guidelines and requirements. By registering for FreshFest, you will verify your understanding of, and your agreement to the terms of Hillel's policies during the entire length of the FreshFest program.

Responsibilities and Expectations for Participants

  • Participants are expected to remain with the group. Participants will not be allowed to separate from the group during scheduled activities.
  • You are expected to treat your fellow participants and trip staff members with respect. Staff members are responsible for your well-being and Hillel's policies have been crafted for your benefit.
  • Please respect the privacy and property of others under all circumstances. Physical violence, verbal abuse, and/or vandalism are prohibited at any time during the course of the trip.

Illegal Drugs/ Substance Abuse Policy

  • Federal laws provide that it is illegal for to purchase, distribute, possess or use a controlled substance or illegal drug. These substances include, but are not limited to, marijuana, ecstasy, hashish, cocaine, PCP, LSD, heroin, designer drugs, and others. In addition, purposeful abuse of prescription or over-the-counter medications is also illegal. Violation of the law may result in arrest or incarceration. Violation of this policy will result in immediate expulsion from Hillel's FreshFest program at your own cost.

Alcohol Policy

  • Participants may not use or possess alcohol during the program.

Smoking Policy

  • Smoking is not permitted on buses, or in any part of FreshFest.

Engaging in Illegal Behavior

  • Any violation of the law, including shoplifting and other forms of theft, will not be tolerated at any time during the course of the trip and will result in immediate expulsion.

AFFIRMATION OF UNDERSTANDING AND AGREEMENT

Hillel at Binghamton FreshFest participants engaging in any form of proscribed behavior, as described above, may be expelled from the Hillel at Binghamton FreshFest program. Any participant removed from the program will be responsible for all personal expenses thereafter.  Hillel reserves the right to contact your parents, guardians or emergency contact in the result of a violation of these rules or an emergency. By typing my name and checking "I agree" below, I affirm my agreement to adhere to Hillel's policies and I understand the consequences of my failure to abide by such rules.

Do you agree to everything written above?
 Yes
 No
Your Name
 
How many family members would like to attend the Family Luncheon? (Do not count the student attending)

 

PAYMENT INFORMATION

What is the total amount to charge?
 $100 (Before August 1st)
 $125 (After August 1st)
Credit Card Type
 Visa
 Mastercard
 American Express
 Discover
Credit Card Number
Expiration Date (MM/YYYY)
CVV (number on the back of card or front on AMEX)

 

CARDHOLDER INFORMATION

First Name of Cardholder
Last Name of Cardholder
Address of Cardholder
City, State, Zip Code
Email Address of Cardholder
Phone Number of Cardholder

Ph: 607-777-3424  •  Fax: 607-777-3783  •  hillel@binghamton.edu  •  Binghamton University UUW-208B, Binghamton, NY 13902-6000

© 2017 Hillel at Binghamton