Workflow Admin
Usernameasluban2
CRM EID15923
Needs FarherNo
Acceptance StatusAccepted
Student Information
Please Upload a Picture of the StudentPlease Upload a Picture of the Student
Student's NameAaron Shlomo Luban
Student's Date of Birth30/09/2005
Student's Regular Cell Phone Number+17329306486
Student's Current Email AddressEmail hidden; Javascript is required.
Student's Current Home Address139 Walnut Ave
Lakewood, NJ 08701
United States
Map It
Father's Information
Father's Full NameShaul Luban
Cell Phone Number+17325524588
Email AddressEmail hidden; Javascript is required.
OccupationSelf Employed
Mother's Full NameSarah Luban
Cell Phone Number+17325976398
Email AddressEmail hidden; Javascript is required.
OccupationUnemployed
Parents' StatusMarried
Tuition Payer's NameShaul Luban
Phone Number+17325524588
Email AddressEmail hidden; Javascript is required.
Past Education
Current YeshivaBe’er Yitzchok
Past Yeshivas
  • R.J.J. (Edison)
  • Orchos Chaim (Elementary)
Elementary School

Orchos Chaim

Current Rosh Yeshiva NameAvraham Shulman
Current Rosh Yeshiva Phone Number+19179070532
Current Rabbi NameAvraham Shulman
Phone Number of Current Rabbi+19179070532
Financial Arrangements

Who will be making financial arrangements for the student's tuition?

Siblings
Name Age
Pessy 18
Rochel 16
Penina 14
Eli 10
Batsheva 7
Chaim 4
Moshe 2
Special CircumstancesNo
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 Address139 Walnut Ave
Lakewood, NJ 08701
United States
Map It
Credit CardVisa
XXXXXXXXXXXX4962
Application FeeApplication Fee, Qty: 1, Price: $150.00
Entry Notes
Source URLhttps://mishkanshmuel.com/application/
Source ID14
Created By (User)Aaron Luban

Add New Student

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

* This form will only create a student CRM record
It will not create a user account for the student to log in *

Name*

Remove Student

Update Student Information