Custom Tuition Contract Step 1 of 10 10% Congratulations on your son being accepted to Yeshivas Mishkan Shmuel. We look forward to a successful year together. PLEASE MAKE SURE YOU HAVE READ THE ENTIRE TUITION EMAIL BEFORE FILLING OUT THIS FORM !!!!(DO NOT CONTINUE IF YOU REQUESTED A SCHOLARSHIP)!!!! Before Starting This Form You Should Have Already Completed Step 1 (Pay The Registration Fee). If You Have Not Done This Stop Now And Click The Link Below To Complete. Pay the $500 registration fee using this link: https://pay.banquest.com/shaareic?description=Registration *TO COMPLETE THIS FORM* 1) You Will Need Clear Pictures Of Your Son’s Passport And Birth Certificate. 2) All Files Must Be Uploaded In .Jpg Or .Png Formats. Please Complete the Form to The Best of Your Ability. IF ANY REQUESTED INFORMATION HAS BEEN INTENTIONALLY LEFT OUT OR CHANGED (IE: Contact Info., Pictures, Or Payment Information) THE RESPONSE WILL BE DISREGARDED For any further questions please don’t hesitate to contact us at Office@MishkanShmuel.com OR WHATSAPP: (347) 761-3817 Important DatesElul Zman Begins: / א’ אלול Until: / י”א תשרי Winter Zman Begins: / א’ חשון Until: / א’ ניסן Summer Zman Begins: / א’ אייר Until: / ט’ אב Linen and BeddingBanketExpressPlus.com For more than a decade, Blanket Express Plus has been providing its service to thousands of students and campers. They allow you the convenience of purchasing all your dormitory needs at home, and then delivering your package directly to you at our Yeshiva or camp so that it’s there when you arrive. Should you decide to use their service, you may place your order with them at www.BlanketExpressPlus.com They may be contacted at cservice@BlanketExpressPlus.com or 718-360-4534. Health InsuranceIT IS MANDATORY THAT EVERY TALMID HAS HEALTH INSURANCE WHILE IN YESHIVA.MSG https://www.msgil.com/ Cell PhonesCellular Israel https://cellularisrael.com/ Contact InformationTalmid's Name(Required) First Last Individual Handling Tuition(Required) First Last Phone of Individual Handling Tuition(Required)Email of Individual Handling Intuition(Required) TuitionTuition – custom amount per month as discussedPlease Confirm the Agreed Upon Monthly Amount(Required)Payment Options I will be paying tuition by Credit Card I will be paying tuition by Check I will be paying tuition by Third Party PLEASE BE AWARE: All payments are processed on the first of each English Calendar month.Tuition Credit Card InformationCredit Card Number(Required) Expiration Date(Required) Must be filled out in the following format: MM/YYYYSecurity Code(Required) Zip Code(Required) Check InformationProcessed As An “Electronic Debit” Directly From Your Bank AccountName(Required) First Last Account Type(Required) Checking Savings Account Number(Required) Routing Number(Required) Third Party PaymentThird party payments must arrive with your name clearly in the memo in order for us to be able to apply payments to the proper account. If there is no description in the memo clearly identifying which account to apply the payment to, it will be considered a general donation to the yeshiva.Name of Third Party(Required) Fidelity Charitable Donors Fund Schwab Charitable Canada Relief 613 Asser Bishvil OJC Fund Achisomach JCF Other Where Payments Will Be Coming From Visa InformationEach Talmid who enters the country will need to get a Student Visa. A Student Visa is typically valid for 2 years. The yeshiva will oversee the Student Visa application process. In order to obtain a Student Visa, the following information is required: 1) Both parents’ birthdays 2) Mother’s maiden name 3) Talmid’s Birth Certificate Passports must be submitted to the office upon arrival. There is a $200 processing fee which will be charged to the credit card on file. TALMIDIM WITH ISRAELI CITIZENSHIP If one or both parents are Israeli citizens, according to Israeli law you will also be considered an Israeli citizen. In addition, if you were born in Israel you may be considered an Israeli citizen. Israeli citizens are required to have an Israeli passport. Israeli citizens will need to obtain a special exemption from the army. We will assist you in this process to the best of our ability. !!IMPORTANT!! LET US KNOW ASAP IF THE ABOVE MAY APPLY TO YOUAre Any of the Parents Israeli(Required) None Father Mother Both Upload Picture of Talmid's Passport(Required) Drop files here or Select files Accepted file types: jpg, png, Max. file size: 8 MB. Talmid's Passport Number(Required) Talmid's Date of Birth(Required) MM slash DD slash YYYY Father's Name(Required) First Last As it appears on birth certificateFather's Date of Birth(Required) MM slash DD slash YYYY Mother's Name(Required) First Last As it appears on birth certificateMother's Date of Birth(Required) MM slash DD slash YYYY Mother's Maiden Name(Required) Upload Picture of Talmid's Birth Certificate(Required) Drop files here or Select files Accepted file types: jpg, png, Max. file size: 8 MB. Credit Card Authorization FormCredit Card Number(Required) Expiration Date(Required) Must be filled out in the following format: MM/YYYYSecurity Code(Required) Billing Zip Code(Required) Consent(Required) I agree to let “Yeshivas Mishkan Shmuel” debit my credit cardThis card will be used for the Israeli student visa, processed at the Yeshiva and 1 shabbaton each for Winter and Summer Zman at $250.00 per trip. This card will also be used if the Talmid does not arrive at yeshiva with medical insurance in Israel. Talmid RulesArrival(Required) I have read and confirm understanding of the following:I understand that Talmidim are expected to arrive at the beginning of each zman and are accepted with the understanding that they remain in the yeshiva until the end of each zman.Smartphones(Required) I have read and confirm understanding of the following:No smartphones or any devices that have internet capabilities are allowed on yeshiva premises. If a Bochur has an Internet capable device he must turn it into the Rosh Hayeshiva upon arrival. Internet devices that are handed in will not be returned on off Shabbosim during Zman.Leaving(Required) I have read and confirm understanding of the following:If for any reason a Talmid needs to leave the Yeshiva including family simchos, it must be discussed with the Hanhalla before making any arrangements.Shabbosim and Trips(Required) I have read and confirm understanding of the following:I understand that the Yeshiva expects all bochurim to attend all yeshiva in shabbosim and trips. Unless you receive explicit permission from the Rosh Hayeshiva.Sightseeing(Required) I have read and confirm understanding of the following:The Hanhala cannot assume responsibility for the whereabouts of Talmidim during bein hazmanim. We strongly urge parents to give clear instructions to their sons to only go sightseeing with a professional tour guide.Living Needs(Required) I have read and confirm understanding of the following:I understand that tuition does not cover food outside of the Yeshiva meal plan, special diet needs, use of washer and dryer, etc.Medical Insurance(Required) I have read and confirm understanding of the following:I acknowledge that it is my responsibility and חיוב to get medical coverage for my son while learning at Yeshiva and that the Yeshiva is not responsible for any medical related expenses.EmailThis field is for validation purposes and should be left unchanged.