| Account Information | |
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| Bochur is a | New Student |
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| Your Name | SARAH Laks/Einhorn |
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| Phone Number | +17329080911 |
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| Email Address | Email hidden; Javascript is required. |
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| 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. |
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| Tuition and Payments | Standard tuition is $2,300.00 per month. |
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| Scholarship Request | I would like to request a reduced tuition |
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| Requested Monthly Tuition | $1,750.00 |
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| Confirmed Monthly Tuition | $1,750.00 |
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| WARNING - Reduced Tuition |  I understand and agree to the below
You have indicated that you would like to request a reduced tuition. Please note that all tuition reduction requests will be submitted to the Rosh Yeshiva for review and approval. There is no set timeframe for this process and it may impact your son's ability to enter the zman on time. |
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| Payment Options | Credit Card |
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| 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. |
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| Important Documents | |
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| Upload Picture of Bochur's Passport | dovs-passport.jpg |
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| Upload Picture of Bochur's Birth Certificate | |
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| Bochur's Legal Name | Dov Einhorn |
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| Bochur's Passport Number | 652663336 |
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| Bochur's Date of Birth | 11/04/2001 |
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| Bochur's Passport Country | usa |
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| Bochur's Passport Issued On | 10/03/2020 |
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| Bochur's Passport Expires On | 09/03/2030 |
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| Does the Bochur Have a Valid Visa? | No |
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| 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. |
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| Father's Name | edward einhorn |
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| Father's Date of Birth | 12/06/1951 |
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| Are either of the parents Israeli? | Neither |
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| Mother's Name | SARAH LAKS |
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| Mother's Date of Birth | 21/03/1961 |
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| Mother's Maiden Name | Laks |
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| Bochur Rules | |
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| 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. |
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| 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. |
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| 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. |
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| 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. |
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| 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. |
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| Tuition Contract Status | Accepted |
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| Registration Payment | |
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| Registration Fee | Registration Fee, Qty: 1, Price: $500.00 |
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| Billing Address | 1487 cedar row
lakewood, NJ 08701
United States
Map It |
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| Credit Card | MasterCard
XXXXXXXXXXXX7069 |
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