Workflow Admin
Usernamestu90009
CRM EID16600
Needs FarherNo
Acceptance StatusPending Acceptance
Student Information
Please Upload a Picture of the StudentPlease Upload a Picture of the Student
Student's NameEitan Elin
Student's Date of Birth12/01/2007
Student's Regular Cell Phone Number+12039109268
Student's Current Email AddressEmail hidden; Javascript is required.
Student's Current Home Address104 Randolph Avenue
Waterbury, CT 06710
United States
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Father's Information
Father's Full NameMendy Elin
Cell Phone Number+12037472004
Email AddressEmail hidden; Javascript is required.
OccupationTicket Broker
Mother's Full NameRivka Elin
Cell Phone Number+12037685090
Email AddressEmail hidden; Javascript is required.
OccupationDirecto of Daycare at Yeshiva Ktana of Waterbury
Parents' StatusMarried
Tuition Payer's NameMendy Elin
Phone Number+12037472004
Email AddressEmail hidden; Javascript is required.
Past Education
Current YeshivaYeshiva Yesodai Hatorah
Past Yeshivas
  • Yeshiva Yesodai Hatorah
Elementary School

Yeshiva Ktana Of Waterbury

Current Rosh Yeshiva NameAri Reiss
Current Rosh Yeshiva Phone Number+13232403798
Current Rabbi NameAhron Lander
Phone Number of Current Rabbi+12034646705
Financial Arrangements

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

Siblings
Name Age
Meir Elin 20
Tehilla Elin 16
Yehuda Elin 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 Address104 Randolph Avenue
Waterbury, CT 06710
United States
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Credit CardVisa
XXXXXXXXXXXX9933
Application FeeApplication Fee, Qty: 1, Price: $150.00
Entry Notes
Source URLhttps://mishkanshmuel.com/application/
Source ID14
Created By (User)Mendy Elin

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