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Online Application

Online Application

Chaya Aydel Seminary

Hallandale, Florida

5778 - 2017 -2018

Personal Information
First Name   Last Name
Street Address   City, State, Zip
Home Phone   Cell Phone
Fax #   Email
Birthday   Secular Birthday
         
Family Information      
Fathers Name   Mothers Name
Fathers Cell   Mothers Cell
Fathers Email   Mothes Email
         
Applicant Details      
Current School   Address
School Phone   School Fax
Previous School      
Have you applied elsehwere? If yes, where?
Summer Experiences (location, shliach)      
Summer 1   Phone
Summer 2   Phone
References (Please attach two letters of recommendation)  
1. Name   Phone
Position  

How long have you
known this person?

2. Name   Phone
Position   How long have you
known this person?
         
Please number in order of importance to you (1=most important, 4=less important)  
Academic Program   Chassidishe Environment/Farbrengen
Social Experience   Community Involvement

Please use this space to describe what is most important to you in a seminary.

Please describe how you envision your year in seminary.

What are some of your concerns about seminary?

List two (2) of your favorite limudei kodesh subjects, and why you enjoy them.


Please share any health concerns you might have.

Please share any allergy or eating concerns.

What or who motivated you to apply to the Chaya Aydel Seminary?

 

Submit a $75 non refundable registration fee

First Name* Last Name*

Address*
(Please use the address associated with the credit card you will be using.)

City* State* Zip Code*

Phone E-mail


Method



Credit Card Number* Expires* (mmyy)

CVV Security code #


 

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