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  • Seminary Application
  • Part Time Application
  • Returning Student Application
  • Yeshivacation Application
  • Online Degree Application
  • Dual Degree Application

Machon Chana Seminary Application

To apply for Machon Chana programs, please fill out this four part form. Thank you! After filling this Application form, please call 347-200-0632 between 11 am till 5 pm, or 8-10 pm (NY time) to schedule an interview (if you are not able to participate in a face to face interview, a WhatsApp interview can be set up).

"*" indicates required fields

Step 1 of 6

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I. Personal Background

MM slash DD slash YYYY
When would you like to begin your studies? (could be approximate date)
Name*
Hebrew Name*
Please enter "no" if you don't have
Current Mailing Address*
Date of Birth*
Place of Birth*
City
State / Province
Country
Marital Status*
Permanent Address*
Person(s) living with you
Name
Relation to you
 
Occupation*

Employer Name*
Father/ Legal Guardian Name*
Please enter "no" if he doesn't have
Father's Address
Please enter the address if different than yours
Mother/ Legal Guardian Name*
Please enter "no" if she doesn't have
Mother's Address
Please enter the address if different than yours
Max. file size: 128 MB.
Max. file size: 128 MB.

References

Please submit two references, including a rabbi or rebbetzin and, preferably, a Jewish community/ campus leader or someone who knows you well. Please list the people who will be submitting references on your behalf and DETAILED letters of recommendation written on the business or personal letterhead of the person submitting the letter.
First Jewish Contact/ Reference*
Name
Relation to you
Phone Number
Email
Address*
Max. file size: 128 MB.
Second Jewish Contact/ Reference*
Name
Relation to you
Phone Number
Email
Address*
Max. file size: 128 MB.

Application Objective

How long do you plan to attend Machon Chana?*

II. Education, Jobs, and Activities

Jewish Education*
Name of Institution
Address
Program attended (e.g. day school, Talmud Torah, Yeshiva)
Affiliation (e.g. Reform)
Length of Time attended
 
Please list the last three schools attended, beginning with the most recent or current institution
Secular Education*
Name of Institution (e.g. university, vocational school)
Address
Major, Field of Study, Curriculum
Status (e.g. B.A., Master's, current student)
Date Completed
 
Please list the last three colleges and post-secondary schools attended, beginning with the most recent or current program of study
Jobs*
Company Name
City, State, Country
Job Title or Position Held
Date Job Started
Date Job Ended
 
Please list the last three jobs or positions held beginning with most recent or current job
Activities: Organizations and Groups*
Name of Organization or Group
City, State, Country
Job Title or Position AND Brief Description of Activities
Date Active from
Date Active to
 
Please list the last three organizations or groups with which you have been involved, listing the most recent first

III. Jewish Affiliation, Background, and Knowledge

Would you describe yourself as:*

Name of Rabbi/ Rebbetzin/ Teacher*
Please enter "no" if you don't have
Which learning skills have you acquired? Which texts can you learn in their original Hebrew? In Yiddish? Which commentaries are you familiar with?

Level of knowledge

Please indicate your level of knowledge in each of the following areas by checking the appropriate box for each subject. Indicate as well, in the column 'More Emphasis,' which subjects are more preferable during your studies in Machon Chana.
Hebrew - Reading*
Hebrew - Comprehension*
Chumash (Five Books of Moses)*
Translate common Chumash words*
Read Rashi script*
Translate common Rashi words*
Understand Rashi in Hebrew text*
Understand Mephorshim in Hebrew text*
Chasidus (Jewish Mysticism)*
Halacha (Jewish Law)*
Jewish Law History*
Nach (Prophets and Writings)*
Pirkei Avos*
Sichos (Torah Discourses) of the Rebbe*
Tefilla (Prayer)*
Tell us about you and your life. Feel free to write as much as you would like.

Foreign Students

The following information is needed to apply for a student visa (I-20) should you be accepted to Machon Chana as a full-time student. Please note that visa application process will begin after being accepted and the $30 US student visa processing fee has been paid.
A) Your name EXACTLY as it appears on your passport
B) Date of Birth:
E) Address in your country of residence:
F) The address to which we should mail your I-20 visa form (it cannot be faxed or emailed):
MM slash DD slash YYYY
Please re-enter your full name
(If applicant is under 18 years of age)

IV. Medical Form

All information will remain strictly confidential and will only be used by medical providers in case of medical necessity while the student is in school. Students with pre-existing health conditions must have medical insurance/coverage or proof of ability to pay for any necessary medical treatment and medication. If there is a medical condition that affects one’s attendance of classes, she will need to return home to care for her health. By signing this form you agree to pay for any costs associated with health care that may not be covered by your insurance should the staff determine you are in need of such.
Name of Student*
Date of Birth*
In case of emergency contact:*
Name
Relation to you
Emergency Contact Address*
7. Do you suffer from any of the following?*
Please provide details
Month/Year
Length of Hospitalization
Diagnosis
 
*
Please type in your full name
MM slash DD slash YYYY

V. Payment Information

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Hidden
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MM slash DD slash YYYY
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The $100 registration fee is non-refundable*
Permission to be included in pictures and videos for promotional purposes.*
Payment Method*
MasterCard
Visa
Supported Credit Cards: MasterCard, Visa