| Workflow Admin | |||||||||||||
| Username | yishaicohen | ||||||||||||
| CRM EID | 15919 | ||||||||||||
| Needs Farher | No | ||||||||||||
| Acceptance Status | Pending Acceptance | ||||||||||||
| Student Information | |||||||||||||
| Please Upload a Picture of the Student | |||||||||||||
| Student's Name | Menachem Yishai Cohen | ||||||||||||
| Student's Date of Birth | 27/01/2026 | ||||||||||||
| Student's Regular Cell Phone Number | +12486029381 | ||||||||||||
| Student's Current Email Address | Email hidden; Javascript is required. | ||||||||||||
| Student's Current Home Address | 26190 Raine St Oak Park, MI 48237 United States Map It | ||||||||||||
| Father's Information | |||||||||||||
| Father's Full Name | Meir Cohen | ||||||||||||
| Cell Phone Number | +12484674632 | ||||||||||||
| Email Address | Email hidden; Javascript is required. | ||||||||||||
| Occupation | Diamond dealer | ||||||||||||
| Mother's Full Name | Naomi Cohen | ||||||||||||
| Cell Phone Number | +12489252147 | ||||||||||||
| Email Address | Email hidden; Javascript is required. | ||||||||||||
| Occupation | High school English teacher | ||||||||||||
| Parents' Status | Married | ||||||||||||
| Tuition Payer's Name | Meir Cohen | ||||||||||||
| Phone Number | +12484674632 | ||||||||||||
| Email Address | Email hidden; Javascript is required. | ||||||||||||
| Past Education | |||||||||||||
| Current Yeshiva | Ohr Hatorah | ||||||||||||
| Past Yeshivas |
| ||||||||||||
| Elementary School | Yeshivas Darchei Torah Detroit | ||||||||||||
| Current Rosh Yeshiva Name | Moshe Aron Rosenbaum | ||||||||||||
| Current Rosh Yeshiva Phone Number | +19174530468 | ||||||||||||
| Current Rabbi Name | Dovid Jaffe | ||||||||||||
| Phone Number of Current Rabbi | +14434667890 | ||||||||||||
| 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 | 26190 Raine St Oak Park, MI 48237 United States Map It | ||||||||||||
| Credit Card | MasterCard XXXXXXXXXXXX6173 | ||||||||||||
| Application Fee | Application Fee, Qty: 1, Price: $150.00 | ||||||||||||
| Entry Notes | |||||||||||||
| Source URL | https://mishkanshmuel.com/application/ | ||||||||||||
| Source ID | 14 | ||||||||||||
| Created By (User) | Yishai Cohen |
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