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Workflow Admin
DEPRECATED Usernameaaron
PARENT CRM EID13350
Account Information
DEPRECATED Bochur's Name
Your Bochur's NameYackov Ginsberg
Bochur is aNew Student
Bochur EID12729
Your NameSholom Ginsberg
Phone Number+17323304853
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$1,000.00
Confirmed Monthly Tuition$1,000.00
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 OptionsCredit Card
Name on Account
Account Type
Account Number
Routing Number
Tuition Electronic Debit Consent
Third Party Organization
Other Third Party Organization Name
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 PassportUpload Picture of Bochur's Passport
Upload Picture of Bochur's Birth CertificateUpload Picture of Bochur's Birth Certificate
Bochur's Legal NameYackov Ginsberg
Bochur's Passport NumberA30814601
Bochur's Date of Birth17/01/2005
Bochur's Passport Countryusa
Bochur's Passport Issued On26/12/2023
Bochur's Passport Expires On25/12/2033
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 NameSholom Ginsberg
Father's Date of Birth16/09/1969
Are either of the parents Israeli?Neither
Mother's NameEsther Ginsberg
Mother's Date of Birth07/02/1973
Mother's Maiden NameLipins
Tuition Contract StatusAccepted
Entry Notes
Source URLhttps://mishkanshmuel.com/tuition/?page=gravityflow-inbox&view=entry&id=1&lid=12731&studentname=Ginsberg
Source ID145
Created By (User)