Workflow Admin
Usernamedoviking
CRM EID16572
Needs FarherYes
Acceptance StatusAccepted
Student Information
Please Upload a Picture of the StudentPlease Upload a Picture of the Student
Student's NameDovi King
Student's Date of Birth09/11/2006
Student's Regular Cell Phone Number+18489860308
Student's Current Email AddressEmail hidden; Javascript is required.
Student's Current Home Address16 Negba street
Lakewood, NJ 08701
United States
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Father's Information
Father's Full NameYosef King
Cell Phone Number+17323301459
Email AddressEmail hidden; Javascript is required.
OccupationAccountant
Mother's Full NameMiriam King
Cell Phone Number+17326786619
Email AddressEmail hidden; Javascript is required.
OccupationHomemaker
Parents' StatusMarried
Tuition Payer's NameYosef King
Phone Number+17323301459
Email AddressEmail hidden; Javascript is required.
Past Education
Current YeshivaMesivta Ahavas Hatorah
Past Yeshivas
  • Yaahivas Keser Yonah
Elementary School

Lakewood Cheder

Current Rosh Yeshiva NameRabbi Yaakov Lazewnik
Current Rosh Yeshiva Phone Number+17325392045
Current Rabbi NameRabbi Yaakov Lazewnik
Phone Number of Current Rabbi+17325392045
Financial Arrangements

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

Siblings
Name Age
Binyomin 30
Chaya Ruchama 28
Shua 27
Yaakov 25
Tzvi 25
Rena 23
Chana 21
Efraim 15
Devorah 12
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 Address16 Negba street
Lakewood, NJ 08701
United States
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Credit CardVisa
XXXXXXXXXXXX6193
Application FeeApplication Fee, Qty: 1, Price: $150.00
Entry Notes
Source URLhttps://mishkanshmuel.com/application/
Source ID14
Created By (User)Dovi King

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