Account Information | |
---|
Your Bochur's Name | Avraham Serle |
---|
Bochur is a | New Student |
---|
Your Name | Mordechai Serle |
---|
Phone Number | +19178739473 |
---|
Email Address | Email hidden; Javascript is required. |
---|
Health Insurance | IT IS MANDATORY THAT EVERY TALMID HAS HEALTH INSURANCE WHILE IN YESHIVA. You will receive an email with more information about obtaining health insurance, upon submitting this form. |
---|
Tuition and Payments | Standard tuition is $2,300.00 per month. |
---|
Scholarship Request | I will pay full tuition |
---|
Confirmed Monthly Tuition | $2,300.00 |
---|
Payment Options | Credit Card |
---|
Tuition Credit Card Consent | I have read and confirm understanding of the following:
On the 1st of every English calendar month, Yeshivas Mishkan Shmuel will charge the credit card labeled "Tuition" above for the agreed-upon amount of my son's monthly tuition. |
---|
Expenses Credit Card Consent | I have read and confirm understanding of the following:
Yeshivas Mishkan Shmuel will charge the credit card labeled "Expenses" above at various times for the amount of $300 each, for the periodic Shabbatons on which the Yeshiva takes all enrolled students. Additionally, in the case that my son arrives to yeshiva without medical insurance, the credit card labeled "Expenses" above will be charged for the cost of obtaining a medical insurance policy for him. |
---|
Important Documents | |
---|
Upload Picture of Bochur's Passport | download.png |
---|
Upload Picture of Bochur's Birth Certificate | download1.png |
---|
Bochur's Legal Name | Avraham Serle |
---|
Bochur's Passport Number | 665909843 |
---|
Bochur's Date of Birth | 02/09/2025 |
---|
Bochur's Passport Country | usa |
---|
Bochur's Passport Issued On | 06/03/2021 |
---|
Bochur's Passport Expires On | 06/02/2031 |
---|
Does the Bochur Have a Valid Visa? | No |
---|
Visa Information | A Student Visa is typically valid for 2 years. The yeshiva will oversee the Student Visa application process. There is a $200 processing fee. |
---|
Father's Name | Mordechai Serle |
---|
Father's Date of Birth | 02/09/2025 |
---|
Are either of the parents Israeli? | Neither |
---|
Mother's Name | Chana Serle |
---|
Mother's Date of Birth | 02/09/2025 |
---|
Mother's Maiden Name | Shurin |
---|
Bochur Rules | |
---|
Remaining in Yeshiva | I have read and confirm understanding of the following:
I understand that Bochurim 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 | I have read and confirm understanding of the following:
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 turn it into the Rosh Hayeshiva upon arrival. Internet devices that are handed in will not be returned on off Shabbosim during Zman. |
---|
Leaving | I have read and confirm understanding of the following:
If for any reason a Bochur needs to leave the Yeshiva including family simchos, it must be discussed with the Hanhalla before making any arrangements. |
---|
Shabbosim and Trips | 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 | I have read and confirm understanding of the following:
The Hanhala cannot assume responsibility for the whereabouts of Bochurim 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 | 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 | I have read and confirm understanding of the following:
I acknowledge that it is my responsibility to obtain health insurance coverage for my son while learning at Yeshiva and that the Yeshiva is not responsible for any medical related expenses.
I understand that upon a tuition amount being confirmed, I will receive an emailed link to the Yeshiva's health insurance information form and that it will be my responsibility to either submit the details of my son's health insurance policy or request that the Yeshiva purchase health insurance for him, which will be charged to the Expense credit card I have entered above.
I understand that if I do not complete the Yeshiva's health insurance information form by the beginning of zman, there will be an additional US$200 administrative fee. |
---|
Tuition Contract Status | Accepted |
---|
Registration Payment | |
---|
Registration Fee | Registration Fee, Qty: 1, Price: $500.00 |
---|
Billing Address | 1102 east 26th Street Brooklyn, NY 11210 United States Map It |
---|
Credit Card | Visa XXXXXXXXXXXX3396 |
---|
Custom Content | - id
- form_id
- post_id
- date_created
- date_updated
- is_starred
- is_read
- ip
- source_url
- user_agent
- currency
- payment_status
- payment_date
- payment_amount
- payment_method
- transaction_id
- is_fulfilled
- created_by
- transaction_type
- status
- source_id
- 114
- 96
- 71
- 97
- 20.3
- 20.6
- 21
- 22
- 111
- 74
- 79
- 25
- 116
- 115.3
- 115.6
- 117
- 118
- 119
- 121.5
- 89.1
- 89.2
- 89.3
- 124
- 130.1
- 125.3
- 125.6
- 126
- 127
- 128
- 131.5
- 60.1
- 60.2
- 60.3
- 45
- 53
- 99.3
- 99.6
- 46
- 47
- 100
- 103
- 104
- 82
- 98.1
- 48.3
- 48.6
- 49
- 44
- 50.3
- 50.6
- 51
- 87.6
- 64.1
- 64.2
- 64.3
- 65.1
- 65.2
- 65.3
- 66.1
- 66.2
- 66.3
- 67.1
- 67.2
- 67.3
- 68.1
- 68.2
- 68.3
- 69.1
- 69.2
- 69.3
- 70.1
- 70.2
- 70.3
- 110.1
- 110.2
- 110.3
- 106.1
- 106.2
- 106.3
- 108.1
- 108.4
- 107.1
- 107.3
- 107.4
- 107.5
- 107.6
- 80
- workflow_final_status
- workflow_step
- workflow_timestamp
- rfsfgf_feed_label
- rfsfgf_is_parent_submission
- is_auto_submission
- total_resubmissions
- resubmission_progress
- gpapf_country_code_21
- gpapf_type_21
- gpapf_national_number_21
- gpapf_raw_21
- gpapf_description_21
- gpapf_carrier_21
- gpapf_region_code_21
- fg_easypassthrough_token
- workflow_step_status_36
- workflow_step_status_278
- 81
- workflow_step_status_279
- workflow_step_status_65
- workflow_step_status_200
- workflow_step_status_199
- 102
- workflow_step_status_303
- workflow_step_status_304
- workflow_step_status_198
- workflow_step_status_305
- workflow_step_status_40
- workflow_step_status_75
- workflow_step_status_341
- workflow_step_status_73
- is_approved
- 18
- 109
- 20.2
- 20.4
- 20.8
- 112
- 7
- 23
- 24
- 78
- 95.1
- 95.2
- 95.3
- 35.2
- 35.3
- 35.4
- 35.6
- 35.8
- 38
- 39
- 36
- 88.1
- 88.2
- 88.3
- 91
- 94
- 122
- 115.2
- 115.4
- 115.8
- 120
- 121.1
- 121.2
- 121.3
- 121.4
- 121.6
- 123
- 125.2
- 125.4
- 125.8
- 129
- 131.1
- 131.2
- 131.3
- 131.4
- 131.6
- 42
- 90
- 99.2
- 99.4
- 99.8
- 83
- 92
- 93
- 101.1
- 101.2
- 101.3
- 43
- 48.2
- 48.4
- 48.8
- 50.2
- 50.4
- 50.8
- 87.2
- 87.3
- 87.4
- 87.8
- 62
- 63
- 105
- 107.2
- 113
- 19.2
- 19.3
- 19.4
- 19.6
- 19.8
- 132
- workflow_step_status_330
- workflow_step_status_332
- workflow_step_status_331
- workflow_step_status_39
- workflow_step_status_72
- workflow_step_status_74
- workflow_step_status_301
- workflow_step_status_349
- workflow_current_status_timestamp
- gpnf_entry_parent
- gpnf_entry_parent_form
- gpnf_entry_nested_form_field
|