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Workflow Admin
DEPRECATED Usernameaaron
PARENT CRM EID13297
Account Information
DEPRECATED Bochur's Name
Your Bochur's NameYosef yaakov Avraham
Bochur is aNew Student
Bochur EID
Your NameDavid Avraham
Phone Number+16464238873
Email AddressEmail 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 PaymentsStandard tuition is $2,300.00 per month.
Scholarship RequestI would like to request a reduced tuition
Requested Monthly Tuition$1,250.00
Confirmed Monthly Tuition$2,300.00
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.
Payment OptionsThird Party
Name on Account
Account Type
Account Number
Routing Number
Tuition Electronic Debit Consent
Third Party OrganizationSelf Paid
Other Third Party Organization Name
Tuition Credit Card Consent
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 PassportUpload Picture of Bochur's Passport
Upload Picture of Bochur's Birth CertificateUpload Picture of Bochur's Birth Certificate
Bochur's Legal NameYosef Yaakov Avraham
Bochur's Passport NumberA26506343
Bochur's Date of Birth18/06/2004
Bochur's Passport CountryUSA
Bochur's Passport Issued On20/09/2023
Bochur's Passport Expires On19/09/2033
Does the Bochur Need a Visa?Yes
Upload Picture of Bochur's Valid VisaUpload Picture of Bochur's Valid Visa
Mispar Zehut
Upload Picture of ID with Mispar Zehut
Visa ForMyself
Missing
Visa InformationA 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 NameDavid Avraham
Father's Date of Birth27/03/1974
Are either of the parents Israeli?Father
Mother's NameElizabeth Avraham
Mother's Date of Birth23/02/1973
Mother's Maiden NameZielensky
Tuition Contract StatusAccepted
Entry Notes
Source URLhttps://mishkanshmuel.com/tuition/?page=gravityflow-inbox&view=entry&id=1&lid=11218&gflow_access_token=eyJpYXQiOjE3NTg4ODg0MTcsImV4cCI6MTc2MTQ4MDQxNywic3ViIjoiZW1haWx8aG9kcGg2QGdtYWlsLmNvbSIsInNjb3Blc
Source ID145
Created By (User)