SHECHITA APPLICATION FORM
Please complete the form below to apply for the shechita training course
Full Name
*
First Name
Middle Name
Last Name
Hebrew Name/s
Full Name Here
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Age
*
Current Age
ID Number
*
Current Address
*
Street Address
Street Address Line 2
City
Province
Postal / Zip Code
Email Address
*
example@example.com
Phone Number H
-
Area Code
Phone Number
Phone Number W
-
Area Code
Phone Number
Phone Number C
*
Format: (000) 000-0000.
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Father's Name
*
First Name
Last Name
Mother's Name
*
First Name
Last Name
Marital Status
*
Single/Married/Divorced/Widowed
Emergency Contact
*
First Name
Last Name
Mobile Number
*
Emergency Contact Mobile
Format: (000) 000-0000.
Relationship
*
Emergency Contact Relationship
Were you born Jewish?
*
Yes
No
Is your wife Jewish
*
Yes
No
N/A
Do you have any dependents?
*
Yes
No
If yes, how many dependents do you have?
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Occupation
*
Current Occupation
Are you currently employed
*
Yes
No
If no, for how long have you been unemployed?
Previous Employment Details
Torah Education Specify where and for how long (School, Yeshiva, Sem, etc.)
*
Secular Education
*
Please provide details
How long have you been Shomer Shabbos?
*
How would you evaluate your knowledge of the laws of shabbos?
*
Excellent
Good
Average
Weak
Non existent
To which Shul/s do you belong?
*
Name of Shul/s
At which Shul's do you daven regularly?
*
Name of Shul/s
How often do you attend Shul?
*
Give full details
How often do you daven, when not in Shul?
*
Give full details
Do you wear a kippah & tzitzit at all times
*
Yes
No
N/A
Do you put on tefillin every weekday?
*
Yes
No
N/A
Do you attend any shiurim?
*
Yes
No
Please specify subjects of shiurim (e.g. Shabbos, Kashrus, etc.)
Provide full details
Do you learn Halocha regularly?
*
Yes
No
Please specify subject, text used, with whom, etc.
Please provide full details
Please supply the names of the two Rabbis who know you well.
*
Please provide full details
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Have you had any experience in Hashgocha?
*
Yes
No
If yes, please provide details
Please provide full details
Why do you want to complete this course?
*
Please provide full details
Hashgocha work usually requires you to stand on your feet for long periods of time. Would this be a problem for you?
*
Yes
No
Work Preference - Frequency
*
Full Time
Part Time
Either
Work Preference. Please select one or more preferences
Day
Night
Weekends
Do you have transport
*
Yes
No
Do you have any of the following conditions? Please select if applicable
*
Seizure Disorder
Fainting Spells
Narcolepsy
None of the Above
Do you suffer from any other medical and/or chronic conditions?
*
Please provide full details
Do you regularly take any prescription medication(s)?
*
Yes
No
If yes, do any of the side effects from the medication(s) pose a risk to work at an abbatoir?
Is there anything else we should know about you?
Date of Application
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature
Submit
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