| Account Information | |
|---|
| Your Bochur's Name | Avi Blumenthal |
|---|
| Bochur is a | New Student |
|---|
| Your Name | Aryeh Blumenthal |
|---|
| Phone Number | +15167703163 |
|---|
| 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 | * 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:
Tuition will automatically be charged to the "Tuition" credit card above, on the 1st of every English calendar month, for the agreed-upon amount as per this agreement. |
|---|
| Expenses Credit Card Consent | I have read and confirm understanding of the following:
It is required that every parent supply the Yeshiva with an expense credit card. This card will be used for the extra "Achdus Shabbatonim" the yeshiva plans at various times throught the year, in the amount ranging between $300 - $500.
This expense card will also be used in the event your son arrives to Yeshiva without the required Health Insurance, Proper kosher phone, and the Student visa application. |
|---|
| Important Documents | |
|---|
| Upload Picture of Bochur's Passport | avi-passport-pic-updated.jpg |
|---|
| Upload Picture of Bochur's Birth Certificate | Avi-Birth-certificate.pdf |
|---|
| Bochur's Legal Name | Avraham Blumenthal |
|---|
| Bochur's Passport Number | A2745662 |
|---|
| Bochur's Date of Birth | 10/08/2003 |
|---|
| Bochur's Passport Country | USA |
|---|
| Bochur's Passport Issued On | 28/10/2023 |
|---|
| Bochur's Passport Expires On | 27/10/2033 |
|---|
| Does the Bochur Have a Valid Visa? | Yes |
|---|
| Visa Information | Bochurim are required to maintain a valid student visa throughout their stay. The yeshiva will oversee the Student Visa application process via our third party processor "Israelexpat.com". The Expense credit card entered above will be used to cover their fee. |
|---|
| Father's Name | Evan Blumenthal |
|---|
| Father's Date of Birth | 01/05/1979 |
|---|
| Are either of the parents Israeli? | Neither |
|---|
| Mother's Name | Brocha Blumenthal |
|---|
| Mother's Date of Birth | 16/09/1982 |
|---|
| Mother's Maiden Name | Tarter |
|---|
| 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 not 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. |
|---|
| Tuition Contract Status | Accepted |
|---|
| Registration Payment | |
|---|
| Registration Fee | Registration Fee, Qty: 1, Price: $500.00 |
|---|
| Billing Address | 501 Broadway
Lawrence, NY 11559
United States
Map It |
|---|
| Credit Card | Visa
XXXXXXXXXXXX6391 |
|---|
| 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
- 97
- 71
- 20.3
- 20.6
- 21
- 22
- 111
- 74
- 79
- 25
- 89.1
- 89.2
- 89.3
- 116
- 115.3
- 115.6
- 117
- 118
- 119
- 121.5
- 124
- 130.1
- 125.3
- 125.6
- 126
- 127
- 128
- 131.5
- 60.1
- 60.2
- 60.3
- 45
- 53
- 99.3
- 99.6
- 47
- 46
- 100
- 103
- 104
- 82
- 98.1
- 44
- 48.3
- 48.6
- 49
- 50.3
- 50.6
- 51
- 87.6
- 65.1
- 65.2
- 65.3
- 64.1
- 64.2
- 64.3
- 66.1
- 66.2
- 66.3
- 67.1
- 67.2
- 67.3
- 68.1
- 68.2
- 68.3
- 69.1
- 69.2
- 69.3
- 110.1
- 110.2
- 110.3
- 102
- 106.1
- 106.2
- 106.3
- 108.1
- 108.4
- 107.1
- 107.3
- 107.4
- 107.5
- 107.6
- 113
- 80
- submission_speeds
- workflow_final_status
- 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
- 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
- 83
- 93
- workflow_step_status_349
- 18
- 109
- 20.2
- 20.4
- 20.8
- 112
- 7
- 23
- 24
- 95.1
- 95.2
- 95.3
- 78
- 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
- 92
- 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
- 70.1
- 70.2
- 70.3
- 105
- 107.2
- 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
- workflow_current_status_timestamp
- gpnf_entry_parent
- gpnf_entry_parent_form
- gpnf_entry_nested_form_field
|
|---|
