Workflow Admin
DEPRECATED Username1shuli
PARENT CRM EID20187
Account Information
DEPRECATED Bochur's Name
Your Bochur's NameYehuda Kirschner
Bochur is aNew Student
Bochur EID20068
Your NameChaim Kirschner
Phone Number+19173766252
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 Payments
Monthly Tuition
$2,600.00 per month
Scholarship RequestI would like to request a reduced tuition
Requested Monthly Tuition$1,050.00
Confirmed Monthly Tuition$1,050.00
WARNING - Reduced Tuition I understand and agree to the below
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:
Expenses Credit Card Consent I have read and confirm understanding of the following:
Important Documents
Upload Picture of Bochur's PassportIC-419-65471196.pdf
Upload Picture of Bochur's Birth CertificateIC-419-65471197.pdf
Bochur's Legal NameEliezer yehuda Kirschner
Bochur's Passport Numbera18062621
Bochur's Date of Birth25/05/2026
Bochur's Passport Countryusa
Bochur's Passport Issued On16/06/2023
Bochur's Passport Expires On15/06/2033
Does the Bochur Need a Visa?Yes
Upload Picture of Bochur's Valid Visa
Mispar Zehut
Upload Picture of ID with Mispar Zehut
Visa ForMyself
Missing
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 Namedale Kirschner
Father's Date of Birth24/06/2026
Are either of the parents Israeli?Neither
Mother's Nameyitty Kirschner
Mother's Date of Birth01/02/1970
Mother's Maiden Nameklein
Tuition Contract StatusAccepted
Entry Notes
Source URLhttps://mishkanshmuel.com/tuition/?payer_first=Chaim&payer_last=Kirschner&payer_email&studentname=Kirschner
Source ID145
Created By (User)Chaim Kirschner