| Workflow Admin | |||||||||||||||
| Username | shmuelolshan | ||||||||||||||
| CRM EID | 11010 | ||||||||||||||
| Needs Farher | No | ||||||||||||||
| Acceptance Status | Accepted | ||||||||||||||
| Student Information | |||||||||||||||
| Please Upload a Picture of the Student | |||||||||||||||
| Student's Name | Shmuel Olshan | ||||||||||||||
| Student's Date of Birth | 10/12/2004 | ||||||||||||||
| Student's Regular Cell Phone Number | +15166159303 | ||||||||||||||
| Student's Current Email Address | Email hidden; Javascript is required. | ||||||||||||||
| Student's Current Home Address | 820 Lanett Ave Far Rockaway, New York 11691-5539 United States Map It | ||||||||||||||
| Father's Information | |||||||||||||||
| Father's Full Name | Jason Olshan | ||||||||||||||
| Cell Phone Number | +15165890997 | ||||||||||||||
| Email Address | Email hidden; Javascript is required. | ||||||||||||||
| Occupation | Assistant Principal Mesivta Chaim Shlomo | ||||||||||||||
| Mother's Full Name | Tanya Olshan | ||||||||||||||
| Cell Phone Number | +15165890999 | ||||||||||||||
| Email Address | Email hidden; Javascript is required. | ||||||||||||||
| Occupation | speech therapist | ||||||||||||||
| Parents' Status | Married | ||||||||||||||
| Tuition Payer's Name | Jason Olshan | ||||||||||||||
| Phone Number | +15165890997 | ||||||||||||||
| Email Address | Email hidden; Javascript is required. | ||||||||||||||
| Past Education | |||||||||||||||
| Current Yeshiva | Yeshiva Arzei Levanon | ||||||||||||||
| Past Yeshivas |
| ||||||||||||||
| Elementary School | Yeshiva Darchei Torah | ||||||||||||||
| Current Rosh Yeshiva Name | Rabbi Simcha Sussman | ||||||||||||||
| Current Rosh Yeshiva Phone Number | +972526889123 | ||||||||||||||
| Current Rabbi Name | Rabbi Wolf | ||||||||||||||
| Phone Number of Current Rabbi | +972548474114 | ||||||||||||||
| Financial Arrangements | Who will be making financial arrangements for the student's tuition? | ||||||||||||||
| Siblings |
| ||||||||||||||
| 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 | 820 Lanett Ave Far Rockaway, New York 11691-5539 United States Map It | ||||||||||||||
| Credit Card | Visa XXXXXXXXXXXX9426 | ||||||||||||||
| Application Fee | Application Fee, Qty: 1, Price: $150.00 | ||||||||||||||
| Entry Notes | |||||||||||||||
| Source URL | https://mishkanshmuel.com/application/ | ||||||||||||||
| Source ID | 14 | ||||||||||||||
| Created By (User) | Shmuel Olshan |
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