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Online Application

Online Application

Chaya Aydel Seminary

Hallandale, Florida

5777 - 2016 -2017

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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