Workflow Admin
DEPRECATED Username1shuli
PARENT CRM EID20825
Account Information
DEPRECATED Bochur's Name
Your Bochur's NameShlomo Rosenthal
Bochur is aNew Student
Bochur EID20038
Your NameJeffrey (Ophir) Rosenthal
Phone Number+19179512055
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 will pay full tuition
Requested Monthly Tuition
Confirmed Monthly Tuition$2,600.00
WARNING - Reduced Tuition
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 PassportUpload Picture of Bochur's Passport
Upload Picture of Bochur's Birth CertificateUpload Picture of Bochur's Birth Certificate
Bochur's Legal NameShlomo Rosenthal
Bochur's Passport NumberA46367344
Bochur's Date of Birth18/07/2006
Bochur's Passport CountryUSA
Bochur's Passport Issued On23/08/2024
Bochur's Passport Expires On22/08/2034
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 NameJeffrey Rosenthal
Father's Date of Birth27/03/1972
Are either of the parents Israeli?Neither
Mother's NameJodi Rosenthal
Mother's Date of Birth26/12/1972
Mother's Maiden NameSpiegel
Tuition Contract StatusAccepted
Entry Notes
Source URLhttps://mishkanshmuel.com/tuition/?payer_first=Jeffrey+%28Ophir%29&payer_last=Rosenthal&payer_email&studentname=Rosenthal
Source ID145
Created By (User)Jeffrey (Ophir) Rosenthal