Online Degree Application

A. Personal information:

Student

Name*

First Last

Hebrew name*

Yours Mother’s Hebrew name

Passport*

Number Country issuing passport

Passport expiry date (dd/mm/yyyy)*

US social security number (If applicable)

Date of birth (mm/dd/yyyy)*

Secular Hebrew

Place of birth*

Country City

Home Address*

Address Line 2 City State / Province / Region ZIP / Postal Code Country

Telephone*

Home Student's cellular

[Country Code] [Area Code] [Telephone Number]

Student's email*

Husband (if applicable)

Husband's name*

First Last

Work*

Occupation Place of work

Telephone*

Cellular Work

E-mail

Family status*

Children (How many)*

Married Single

Parents

Name*

Mother's Mother's Maiden name

Work

Occupation Place of work

Telephone*

Cellular Work/home

Mother's email

Name*

Father

Work

Occupation Place of work

Telephone*

Cellular Work/home

Father's email

Please upload your recent picture*

Max. file size: 128 MB.

B. Education

1st School*

Name Location From year To year

Grades Reason for change Principal Telephone of Principal

2nd School*

Name Location From year To year

Grades Reason for change Principal Telephone of Principal

1st year of Seminary (if you had)

Name Location From year To year

Principal Telephone of Principal

Languages

Hebrew*

Reading comprehension

Understands a conversation

Speaks

English*

Reading comprehension

Understands a conversation

Speaks

Other

Reading comprehension

Understands a conversation

Speaks

Which other language

C. Previous experiences

Please list your previous experiences and all volunteering / work you have done.

Experience Number 1*

Please describe your experience in a few words, indicate the location, what year, your position, the type of work, the name and telephone number of reference

Experience Number 2*

Please describe your experience in a few words, indicating the location, year, your position, the type of work, the name and telephone number of reference

Experience Number 3*

Please describe your experience in a few words. Indicate the location, year you worked there, your position, the type of work, the name and telephone number of reference

D. Personal Questionnaire

How many credits do you need?*

What profession would like you practice in the future? Why?*

How do you define a Jewish home?*

Describe your personal interests and hobbies*

Are you interested in acquiring teaching skills?*

Describe your learning level*

I am acquainted with Frum terminology*

I can learn a Sicha on my own*

I can learn a Maamar on my own*

I study Chitas daily with Rashi*

Please submit with this application 2 letters of recommendations from teachers, directors (seminary or high school) and/or employers

Max. file size: 128 MB.

If you are not able to upload the letters of recommendations, please send them to Registrations@seminary.machonchana.org

Fees*

Application Fee

Total