Workflow Admin
DEPRECATED Username1shuli
PARENT CRM EID22159
Account Information
DEPRECATED Bochur's Name
Your Bochur's NameBen Freiner
Bochur is aNew Student
Bochur EID9016
Your NameBen Freiner
Phone Number+17326692252
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$0.00
Confirmed Monthly Tuition$0.00
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 Pay
Other Third Party Organization Name
Tuition Credit Card Consent
Expenses Credit Card Consent I have read and confirm understanding of the following:
It is required that every parent supply the Yeshiva with an expense credit card. This card will be used for the extra "Achdus Shabbatonim" the yeshiva plans at various times throught the year, in the amount ranging between $300 - $500.


This expense card will also be used in the event your son arrives to Yeshiva without the required Health Insurance, Proper kosher phone, and the Student visa application.
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 NameBen Chaim Freiner
Bochur's Passport Number668676731
Bochur's Date of Birth02/03/2005
Bochur's Passport CountryUSA
Bochur's Passport Issued On30/06/2021
Bochur's Passport Expires On29/06/2031
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 NameIlan Freiner
Father's Date of Birth14/01/1964
Are either of the parents Israeli?Neither
Mother's NameEfrat Freiner
Mother's Date of Birth01/01/1965
Mother's Maiden NameLachman
Tuition Contract StatusAccepted
Entry Notes
Source URLhttps://mishkanshmuel.com/tuition/?id=5&workflow_parent_entry_id=8991&workflow_hash=e5f600c2ab691df2fc489e9e05e61037
Source ID145
Created By (User)Ben Freiner