JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Registration: 2023 Aliyah Ceremony, honoring Jewish students
Please use this form to register for this event. It is scheduled for Friday, May 12 at 1:30 p.m. in Brush Mountain Room, Squires Student Center. If you need to register for other ceremonies please visit
ccc.vt.edu
for the registration links. Please skip questions that do not apply to your affiliation.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
I would like to:
participate in the in-person Aliyah Ceremony
have my name listed in the program but do not wish to participate in the ceremony
just receive ceremony regalia
Clear selection
Stoles will be available for pick up in 150 Squires. If you are not in Blacksburg but want it mailed to you, please put your mailing address below.
Your answer
Please check your affiliation for attendance
Student
Faculty
Staff
Administration
Other:
Clear selection
First Name ( as you wish printed in the program)
Your answer
Last name ( as you wish printed in the program)
Your answer
Email address
Your answer
College or Unit with which you are associated
Your answer
Degree(s) to be conferred:
Your answer
Academic Major(s)
Your answer
Academic Distinctions( Magna Cum Laude, Dean's List, etc.)
Your answer
Academic Minor(s)
Your answer
When being introduced at the ceremony, what gender pronouns should the speaker use?( she/her/hers, he/him/his, they/them/theirs, zie/zim/sir, etc.)
Your answer
Would you like to nominate someone to give remarks at the ceremony?
Yes
No
Clear selection
Nominee name
Your answer
Please tell us why you are nominating this person?
Your answer
Is this nominee a family member, graduate student, an undergraduate student,faculty, other?
Your answer
We know that your success many have been influenced positively by a member of the Virginia Tech community. We would like to invite them to be present to honor you! Please indicate their name and email address below.
Your answer
How many guests will you bring (besides yourself)? This helps us plan for seating and catering.
Your answer
Please list up to 5 extracurricular distinctions and /or associations that you want recognized( ex President of XYZ club, Member of XYZ sorority, etc.)
Your answer
Ceremony Photography Statement: Please Read
University Relations and the CCC's will be taking photos at all of the ceremonies. If you prefer not to have your photo taken, please request a lime green sticker the day of the ceremony to wear on your regalia in a visible location.
If you or your guests need accommodations, please contact Alicia Cohen at 540-231-1822 or
acohen@vt.edu
at least 10 days prior to the ceremony. You are also welcome to share accommodation needs below.
Your answer
Will you be registering for other cultural achievement ceremonies? If yes, please check all that apply.
*
Aliyah Ceremony
American Indian & Indigenous Ceremony
Asian American Ceremony
Donning of the Kente
Gesta Latina
International Student Achievement Ceremony
Lavender Ceremony
Students in Recovery
Veterans Ceremony
Muslim Student Ceremony
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Virginia Tech.
Report Abuse
Forms
