| Workflow Admin | |||||||||||||||||
| Username | asluban2 | ||||||||||||||||
| CRM EID | 15923 | ||||||||||||||||
| Needs Farher | No | ||||||||||||||||
| Acceptance Status | Accepted | ||||||||||||||||
| Student Information | |||||||||||||||||
| Please Upload a Picture of the Student | |||||||||||||||||
| Student's Name | Aaron Shlomo Luban | ||||||||||||||||
| Student's Date of Birth | 30/09/2005 | ||||||||||||||||
| Student's Regular Cell Phone Number | +17329306486 | ||||||||||||||||
| Student's Current Email Address | Email hidden; Javascript is required. | ||||||||||||||||
| Student's Current Home Address | 139 Walnut Ave Lakewood, NJ 08701 United States Map It | ||||||||||||||||
| Father's Information | |||||||||||||||||
| Father's Full Name | Shaul Luban | ||||||||||||||||
| Cell Phone Number | +17325524588 | ||||||||||||||||
| Email Address | Email hidden; Javascript is required. | ||||||||||||||||
| Occupation | Self Employed | ||||||||||||||||
| Mother's Full Name | Sarah Luban | ||||||||||||||||
| Cell Phone Number | +17325976398 | ||||||||||||||||
| Email Address | Email hidden; Javascript is required. | ||||||||||||||||
| Occupation | Unemployed | ||||||||||||||||
| Parents' Status | Married | ||||||||||||||||
| Tuition Payer's Name | Shaul Luban | ||||||||||||||||
| Phone Number | +17325524588 | ||||||||||||||||
| Email Address | Email hidden; Javascript is required. | ||||||||||||||||
| Past Education | |||||||||||||||||
| Current Yeshiva | Be’er Yitzchok | ||||||||||||||||
| Past Yeshivas |
| ||||||||||||||||
| Elementary School | Orchos Chaim | ||||||||||||||||
| Current Rosh Yeshiva Name | Avraham Shulman | ||||||||||||||||
| Current Rosh Yeshiva Phone Number | +19179070532 | ||||||||||||||||
| Current Rabbi Name | Avraham Shulman | ||||||||||||||||
| Phone Number of Current Rabbi | +19179070532 | ||||||||||||||||
| 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 | 139 Walnut Ave Lakewood, NJ 08701 United States Map It | ||||||||||||||||
| Credit Card | Visa XXXXXXXXXXXX4962 | ||||||||||||||||
| Application Fee | Application Fee, Qty: 1, Price: $150.00 | ||||||||||||||||
| Entry Notes | |||||||||||||||||
| Source URL | https://mishkanshmuel.com/application/ | ||||||||||||||||
| Source ID | 14 | ||||||||||||||||
| Created By (User) | Aaron Luban |
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