| Workflow Admin | |||||||||||||||||||||
| Username | moshejuni | ||||||||||||||||||||
| CRM EID | 10498 | ||||||||||||||||||||
| Needs Farher | No | ||||||||||||||||||||
| Acceptance Status | Accepted | ||||||||||||||||||||
| Student Information | |||||||||||||||||||||
| Please Upload a Picture of the Student | |||||||||||||||||||||
| Student's Name | Moshe Juni | ||||||||||||||||||||
| Student's Date of Birth | 14/12/2003 | ||||||||||||||||||||
| Student's Regular Cell Phone Number | +19295703019 | ||||||||||||||||||||
| Student's Current Email Address | Email hidden; Javascript is required. | ||||||||||||||||||||
| Student's Current Home Address | 4 Aaron ct Cherry Hill, NJ 08002 United States Map It | ||||||||||||||||||||
| Father's Information | |||||||||||||||||||||
| Father's Full Name | Rabbi Chaim Juni | ||||||||||||||||||||
| Cell Phone Number | +19176801808 | ||||||||||||||||||||
| Email Address | Email hidden; Javascript is required. | ||||||||||||||||||||
| Occupation | Rosh Yeshiva/Rebbi | ||||||||||||||||||||
| Mother's Full Name | Zippy Juni | ||||||||||||||||||||
| Cell Phone Number | +19176801938 | ||||||||||||||||||||
| Email Address | Email hidden; Javascript is required. | ||||||||||||||||||||
| Occupation | Clinical Director/BCBA | ||||||||||||||||||||
| Parents' Status | Married | ||||||||||||||||||||
| Tuition Payer's Name | Rabbi Chaim Juni | ||||||||||||||||||||
| Phone Number | +19176801808 | ||||||||||||||||||||
| Email Address | Email hidden; Javascript is required. | ||||||||||||||||||||
| Past Education | |||||||||||||||||||||
| Current Yeshiva | Yeshivas Ner Aharon | ||||||||||||||||||||
| Past Yeshivas |
| ||||||||||||||||||||
| Elementary School | Politz Day School of Cherry Hill | ||||||||||||||||||||
| Current Rosh Yeshiva Name | Rabbi Dovid Powits | ||||||||||||||||||||
| Current Rosh Yeshiva Phone Number | +972534468576 | ||||||||||||||||||||
| Current Rabbi Name | Rabbi Eliezer Gutfraund | ||||||||||||||||||||
| Phone Number of Current Rabbi | +972527639470 | ||||||||||||||||||||
| Financial Arrangements | Who will be making financial arrangements for the student's tuition? | ||||||||||||||||||||
| Siblings |
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| Special Circumstances | No | ||||||||||||||||||||
| Please describe the student's special circumstances. | |||||||||||||||||||||
| Student Rules | |||||||||||||||||||||
| Smartphone Policy | I have read and accept the smartphone policy. | ||||||||||||||||||||
| Bochur Signature | |||||||||||||||||||||
| Personal Items | I have read and acknowledge confirmation of the personal items policy. | ||||||||||||||||||||
| Shabbosim and Trips | I have read and acknowledge confirmation of the Shabbosim and trips policy. | ||||||||||||||||||||
| Failure to Follow Rules | I have read and acknowledge confirmation of the policy regarding failure to follow the rules. | ||||||||||||||||||||
| Application Fee | |||||||||||||||||||||
| Billing Address | 4 Aaron ct Cherry Hill, NJ 08002 United States Map It | ||||||||||||||||||||
| Credit Card | Visa XXXXXXXXXXXX5102 | ||||||||||||||||||||
| Application Fee | Application Fee, Qty: 1, Price: $150.00 | ||||||||||||||||||||
| Entry Notes | |||||||||||||||||||||
| Source URL | https://mishkanshmuel.com/application/ | ||||||||||||||||||||
| Source ID | 14 | ||||||||||||||||||||
| Created By (User) | Moshe Juni |
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