Student Administration






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Workflow Admin
Usernameaviblumenthal
CRM EID18176
Needs FarherNo
Acceptance StatusAccepted
Student Information
Please Upload a Picture of the StudentPlease Upload a Picture of the Student
Student's NameAvi Daniel Blumenthal
Student's Date of Birth10/08/2003
Student's Regular Cell Phone Number+15163889669
Student's Current Email AddressEmail hidden; Javascript is required.
Student's Current Home Address50 MAPLE AVE
CEDARHURST, NY 11516
United States
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Father's Information
Father's Full NameAryeh Blumenthal
Cell Phone Number+15167703163
Email AddressEmail hidden; Javascript is required.
Occupationbusiness
Mother's Full NameBrocha Blumenthal
Cell Phone Number+15164109789
Email AddressEmail hidden; Javascript is required.
Occupationshadchan
Parents' StatusMarried
Tuition Payer's NameAryeh Blumenthal
Phone Number+15167703163
Email AddressEmail hidden; Javascript is required.
Past Education
Current YeshivaPraeger's
Past Yeshivas
  • Yeshiva Far Rockaway
Elementary School

Yeshiva of South Shore

Current Rosh Yeshiva NameRabbi Shlomo Praeger
Current Rosh Yeshiva Phone Number+17187559161
Current Rabbi NameRabbi Dworetski
Phone Number of Current Rabbi+19739867529
Financial Arrangements

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

Siblings
Name Age
Aryeh Blumenthal 46
Special CircumstancesNo
Please describe the student's special circumstances.
Student Rules
Smartphone Policy I have read and accept the smartphone policy.

No smartphones or any devices that have internet capabilities are allowed on yeshiva premises. Xiaomi and Qin phones are expressly note allowed. If a Bochur has an Internet capable device he must report it immediately and then turn it into the Rosh Hayeshiva upon arrival.

Bochur Signature
Personal Items I have read and acknowledge confirmation of the personal items policy.

I grant Yeshivas Mishkan Shmuel permission to disperse or dispose of any personal belongings (including items labeled with my name) that are left anywhere on Yeshiva the premise, one week after my final departure from the Yeshiva. At that point, I agree that these items will be considered Hefker.

Shabbosim and Trips I have read and acknowledge confirmation of the Shabbosim and trips policy.

I understand that the Yeshiva expects all bochurim to attend all Yeshiva functions including in shabbosim and trips. I understand that any exceptions to this rule must be first discussed and approved soley by the Rosh Hayeshiva.

Failure to Follow Rules I have read and acknowledge confirmation of the policy regarding failure to follow the rules.

I have read the above rules and expectations of the Yeshiva from me and hereby accept fully the responsibility to keep them. I understand that if I fail to do so, the decision of my remaining in the Yeshiva or the dormitory will be left up to the discretion of the Hanhalah as they see fit.

Application Fee
Billing Address50 MAPLE AVE
CEDARHURST, NY 11516
United States
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Credit CardMasterCard
XXXXXXXXXXXX7141
Application FeeApplication Fee, Qty: 1, Price: $150.00
Entry Notes
Source URLhttps://mishkanshmuel.com/application/
Source ID14
Created By (User)Avi Blumenthal
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