| Workflow Admin | |||||||||||||||||||||
| Username | doviking | ||||||||||||||||||||
| CRM EID | 16572 | ||||||||||||||||||||
| Needs Farher | Yes | ||||||||||||||||||||
| Acceptance Status | Accepted | ||||||||||||||||||||
| Student Information | |||||||||||||||||||||
| Please Upload a Picture of the Student | |||||||||||||||||||||
| Student's Name | Dovi King | ||||||||||||||||||||
| Student's Date of Birth | 09/11/2006 | ||||||||||||||||||||
| Student's Regular Cell Phone Number | +18489860308 | ||||||||||||||||||||
| Student's Current Email Address | Email hidden; Javascript is required. | ||||||||||||||||||||
| Student's Current Home Address | 16 Negba street Lakewood, NJ 08701 United States Map It | ||||||||||||||||||||
| Father's Information | |||||||||||||||||||||
| Father's Full Name | Yosef King | ||||||||||||||||||||
| Cell Phone Number | +17323301459 | ||||||||||||||||||||
| Email Address | Email hidden; Javascript is required. | ||||||||||||||||||||
| Occupation | Accountant | ||||||||||||||||||||
| Mother's Full Name | Miriam King | ||||||||||||||||||||
| Cell Phone Number | +17326786619 | ||||||||||||||||||||
| Email Address | Email hidden; Javascript is required. | ||||||||||||||||||||
| Occupation | Homemaker | ||||||||||||||||||||
| Parents' Status | Married | ||||||||||||||||||||
| Tuition Payer's Name | Yosef King | ||||||||||||||||||||
| Phone Number | +17323301459 | ||||||||||||||||||||
| Email Address | Email hidden; Javascript is required. | ||||||||||||||||||||
| Past Education | |||||||||||||||||||||
| Current Yeshiva | Mesivta Ahavas Hatorah | ||||||||||||||||||||
| Past Yeshivas |
| ||||||||||||||||||||
| Elementary School | Lakewood Cheder | ||||||||||||||||||||
| Current Rosh Yeshiva Name | Rabbi Yaakov Lazewnik | ||||||||||||||||||||
| Current Rosh Yeshiva Phone Number | +17325392045 | ||||||||||||||||||||
| Current Rabbi Name | Rabbi Yaakov Lazewnik | ||||||||||||||||||||
| Phone Number of Current Rabbi | +17325392045 | ||||||||||||||||||||
| Financial Arrangements | Who will be making financial arrangements for the student's tuition? | ||||||||||||||||||||
| Siblings |
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| 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 | 16 Negba street Lakewood, NJ 08701 United States Map It | ||||||||||||||||||||
| Credit Card | Visa XXXXXXXXXXXX6193 | ||||||||||||||||||||
| Application Fee | Application Fee, Qty: 1, Price: $150.00 | ||||||||||||||||||||
| Entry Notes | |||||||||||||||||||||
| Source URL | https://mishkanshmuel.com/application/ | ||||||||||||||||||||
| Source ID | 14 | ||||||||||||||||||||
| Created By (User) | Dovi King |
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