Part Time Application "*" indicates required fields Name* First Hebrew Last Mother's Hebrew Name* Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Semester*FallSpringSummerPhone Number (Home, Cell)* Home Cell Date of Birth* MM slash DD slash YYYY Marital Status*SingleMarriedWidow/ DivorcedAre your parent’s Jewish*MotherFatherBothConvertedEmail* What other topics are you interested in?* Describe your level of learning.* Describe your level of observance.* Describe your prior education.* In case of emergency, please contact:* Name Cell number Relationship Sunday Courses 9:30 Tanya - Rabbi Tzvi Rimler 10:30 Novi - Rabbi Shmuel Aber 11:30 Inyonei D'Yoma - Rabbi Levi Garelik 1:00 Halacha - Rabbi Shmuel Samuels 2:00 Yoma D'Pagra - Rabbi Michoel Seligson Choose courses you will be taking.Evening Courses Sunday: 5:00 Jewish Home - Mrs. Gavriella Aber 5:50 Chavrusa & Pizza / Hachana - Ms. Geulah Notik 6:50 Tefillah - Rabbi Shlomo Sternberg 7:50-8:40 Taamei HaMinhagim - Rabbi Zalman Hertzel Tuesday: 5:00 Machzor - Mrs. Sara Junik 6:00 Halacha - Rabbi Shmuel Samuels 6:50 Chassidus - Rabbi Mordechai Sternberg 7:40-8:30 Chabrusa - Ms. Geulah Notik Thursday: 5:00 Early Childhood Teaching Skills - Mrs. Sarah Chuzhin 6:00 Early Childhood Chabad Curriculum - Kindergarten Teachers 6:50 Sicha on Chinuch - Rabbi Levi Goldstein 7:40 Farbrengen - Rabbi Osher Kravitzky Choose courses you will be taking.Morning Classes (Monday - Thursday) 8:00-9:00 (M) Tanya - Rabbi Hillel Raskin 10:00-10:30 (M) Halacha - Rabbi Yossi Barber 10:30-11:30 (M) Jewish Home - Mrs. Sara Junik 11:30-12:00 (M) Maamar on Tefillah - Mrs. Sara Labkowski 12:00-1:00 (M) Inyonei D'Yoma - Rabbi Levi Garelik 8:00-9:00 (Tu) Tanya - Rabbi Hillel Raskin 10:00-10:30 (Tu) Halacha - Rabbi Yossi Barber 10:30-11:30 (Tu) Tefillah - Rabbi Levi Garelik 11:30-12:30 (Tu) Darchei HaChassidus - Rabbi Foli Dubov 12:30-1:00 (Tu) Maamar on Tefillah - Mrs. Sara Labkowski 8:00-9:00 (W) Tanya - Rabbi Hillel Raskin 10:00-10:30 (W) Halacha - Rabbi Yossi Barber 10:30-11:10 (W) Maamar - Rabbi Peretz Schapiro 11:10-11:50 (W) SIchos - Mrs. Shainy Oster 11:50-12:50 (W) Torah Insights - Mrs. Tzameret Borevitz 8:00-9:00 (Th) Tanya - Rabbi Hillel Raskin 10:00-11:00 Yonah - Mrs. Mushky Katzman 11:00-12:00 Shiras Chana - Mrs. Miri Cohen 12:00-1:00 Jewish Home - Mrs. Gavriella Aber Choose courses you will be taking.Are you planning to take the classes online?* Yes No Upload a headshot of yourself.*Max. file size: 128 MB.Registration Fee* I understand and accept The registration fee is non-refundableTotal Payment Method*PayPal Checkout MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Δ
