Workflow Admin
Usernamenathann
CRM EID16451
Needs FarherNo
Acceptance StatusPending Acceptance
Student Information
Please Upload a Picture of the StudentPlease Upload a Picture of the Student
Student's NameNathan Dovid Nussbaum
Student's Date of Birth08/03/2006
Student's Regular Cell Phone Number+17023034925
Student's Current Email AddressEmail hidden; Javascript is required.
Student's Current Home Address201 w 79th street
New York, NY 10024
United States
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Father's Information
Father's Full NameN/A N/A
Cell Phone Number+19736344714
Email AddressEmail hidden; Javascript is required.
OccupationNA
Mother's Full NameSusan Nussbaum
Cell Phone Number+19736344714
Email AddressEmail hidden; Javascript is required.
OccupationCharity owner
Parents' StatusFather deceased
Tuition Payer's NameSusan Nussbaum
Phone Number+19736344714
Email AddressEmail hidden; Javascript is required.
Past Education
Current YeshivaReishit
Past Yeshivas
  • N/a
Elementary School

Kushner

Current Rosh Yeshiva NameRav Ari Marcus Ari Marcus
Current Rosh Yeshiva Phone Number+972524663297
Current Rabbi NameRav aryeh freidman Aryeh freidman
Phone Number of Current Rabbi+972553298785
Financial Arrangements

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

Siblings
Name Age
Hannah nussbaum/rebecca /liora 23/22/15
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 Address201 w 79th street
New York, NY 10024
United States
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Credit CardVisa
XXXXXXXXXXXX1029
Application FeeApplication Fee, Qty: 1, Price: $150.00
Entry Notes
Source URLhttps://mishkanshmuel.com/application/
Source ID14
Created By (User)Nathan Nussbaum

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