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Professionals Program Application

Note: If you are under age 23, please fill out the Post High School application here.

Instructions: Please answer all questions. Inapplicable items should be marked N/A.

Step 1 of 5

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Personal Information
Name*
First Last
Hebrew Name
Email*
Cell Phone*
Occupation
Birthdate*
MM slash DD slash YYYY
Address*
Street Address City State / Province / Region ZIP / Postal Code Country

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Family Information
Marital Status
Date of Marriage
MM slash DD slash YYYY
Spouse's Name
Number of Children
Father's Last Name
Father's First Name
Mother's Last Name
Mother's First Name
Mother's Maiden Name
Was your biological mother born Jewish?*
- Yes
- No
Was your biological maternal grandmother born Jewish?*
- Yes
- No
Did you, your mother, or your maternal grandmother convert to Judaism?*
- Yes
- No
Please check who converted
- You
- Your mother
- Your maternal grandmother
Please attach a copy of the conversion documents to your application*
Drop files here or

Max. file size: 512 MB.

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Assessment of Gemora Learning
Can you read Hebrew?
- No
- A bit
- Medium
- Pretty Well
- Yes
Can you read Rashi?
- No
- A bit
- Medium
- Pretty Well
- Yes
Can you read Aramaic?
- No
- A bit
- Medium
- Pretty Well
- Yes
How well do you understand the Gemara?
- No
- A bit
- Medium
- Pretty Well
- Yes
Do you have any learning disabilities?
Do you/have you had medical conditions?
Are you currently taking any medication?
Please take a moment to provide us with some more information about your learning level
How did you hear about us?

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References
Reference 1
Name

(your rav if possible)
Occupation
Relationship to you
Phone
Email
Reference 2
Name
Occupation
Relationship to you
Phone
Email
Emergency Contact
Please provide contact information of someone that we can reach out to in in case of an emergency.
Emergency Contact Name
Relationship to you
Home Phone
Cell Phone

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Tuition Cost
Learning Options*
- Full Day
- Half Day
9:10am – 6:30pm, Sunday through Thursday
- Monthly Tuition – $1,500
- Weekly Tuition – $500
- Daily Tuition – $160
9:10 AM – 1:15 PM, Sunday through Thursday
- Monthly Tuition - $1000
- Weekly Tuition - $333
- Daily Tuition - $111
Hidden
Calculation for Full Day or Half Day
Hidden
Shared Accommodations
- Monthly - $600
- Weekly - $250
- Weekly Private (if available) - $600
- Daily - $50
- Daily Private (if available) - $150
- Other arrangements
Hidden
Meal Plan
- $550 per Month
- $140 per Week
- Other arrangements
Proposed Start Date
MM slash DD slash YYYY
Proposed End Date
MM slash DD slash YYYY
*
- I understand that if my application is accepted, I will pay the tuition for the first month / for my time in yeshiva (if less than one month) prior to my day of arrival.
CAPTCHA
Email
This field is for validation purposes and should be left unchanged.

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In This Section:

Online Application
- Post High School and Beis Medrash Application
- Professionals Program Application
Tuition Policy
Scholarships
Contact Me – Post High School Beis Midrash
Contact Me – Professionals Beis Midrash
FAQ
Visa Information
Medical Procedures & Insurance
Old City Information Page
Regional Scholarships
Family Visits & Housing
New Student Info Form

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