Application for Short Term Study 

Ohr Somayach is an open yeshiva with short-term study options for the busy college student and young professional. We tailor study schedules for motivated students that want to maximize their vacations, semester and summer breaks for Torah study. Students come away inspired, more knowledgeable, and ready to reengage with the challenges and opportunities of their day-to-day lives.

This application must be completed in full by candidates seeking admission to our Short Term Learning Program. All information will be considered confidential. For any further questions, please do not hesitate to contact our office.



Required fields:*


Personal Information:
Full Name:*
Date of Birth:* ,
Address:*
City, State/Province, Zip:* , ,
Country:*
Phone Number:*
Home Address:
(if different)


Home City, State/Province, Zip:
(if different)
, ,
Country:*
E-mail Address:*
Emergency Phone Contact: *
 Name:
 Number:
 Relationship:
Social Security #:*
Recent Picture:* (Valid format: JPG up to 4 MB)

Background:
Are you currently in school?* Yes No
     If yes, please name school:
          Major:
    If no, please describe:
Were both parents born Jewish?* Yes No
    If not, please explain:
Are you ashkenaz or sephardic?* Ashkenaz
Sephardic
Briefly describe your Jewish education:*
Have you ever attended Ohr Somayach?* Yes No
    If yes, how would you describe
    your Hebrew skill level?
*

Beginner
Intermediate
Advance


Attendance Information:
What specific goals do you wish to accomplish at Ohr Somayach?*
Do you have any special medical needs?*

Yes No

    If yes, please explain:

Personal References:
(Please list two)
Name:*
Address:*
City, State/Province, Zip:* , ,
Country:*
Phone:*

Name:*
Address:*
City, State/Province, Zip:* , ,
Country:*
Phone:*

Expected Length of Stay at Ohr Somayach Monsey:
From Date:*
To Date:*

Captcha:
Enter the code in the text box:*
(This prevents spam in the form)

Code

Scholarship available upon request.

I understand that upon acceptance the following must be submitted either by email or fax:

(No student will be allowed to reside on campus prior to submitting their immunization record.)



I hereby apply for enrollment as a regular student at Ohr Somayach Tanenbaum Educational Center, registering in a program which leads to a First Talmudic/First Professional Degree. I certify that all the information contained on this application is accurate and complete to the best of my knowledge. I further understand that I must remain in compliance of all the rules and regulations as described in catalog and other official notices and publications.



 
Copyright © 2013 Ohr Somayach Monsey, all rights reserved.
Website Design by Radial Web