Workflow Admin
Usernamemordechai
CRM EID16563
Needs FarherNo
Acceptance StatusPending Acceptance
Student Information
Please Upload a Picture of the StudentSPChoppMordechai.pdf
Student's NameMordechai Chopp
Student's Date of Birth14/01/2005
Student's Regular Cell Phone Number+13475246871
Student's Current Email AddressEmail hidden; Javascript is required.
Student's Current Home Address123 brick church rd
spring valley, ny 10977
United States
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Father's Information
Father's Full NameShlomo chopp
Cell Phone Number+13479920493
Email AddressEmail hidden; Javascript is required.
Occupationreal estate
Mother's Full Nameadina chopp
Cell Phone Number+13479621348
Email AddressEmail hidden; Javascript is required.
Occupationhomemaker
Parents' StatusMarried
Tuition Payer's NameShlomo chopp
Phone Number+13479920493
Email AddressEmail hidden; Javascript is required.
Past Education
Current Yeshivayeshivas Torah Vadaath
Past Yeshivas
  • None
Elementary School

Yeshiva of Spring Valley

Current Rosh Yeshiva NameYitzchak Abba lichtenstein
Current Rosh Yeshiva Phone Number+18456087430
Current Rabbi NameYitzchok abba Lichtenstein
Phone Number of Current Rabbi+18456087430
Financial Arrangements

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

Siblings
Name Age
Atara chopp 19
Michal chopp 16
Sara chopp 15
Esti chopp 14
Ariela chopp 10
Yehuda chopp 7
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 Address123 brick church rd
spring valley, ny 10977
United States
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Credit CardAmerican Express
XXXXXXXXXXX2007
Application FeeApplication Fee, Qty: 1, Price: $150.00
Entry Notes
Source URLhttps://mishkanshmuel.com/application/
Source ID14
Created By (User)Mordechai Chopp

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