Aish Gesher for Women Seminary Application 2022-23
Please fill in the below application completely and to the best of your ability. You can click "Save" at the bottom of each page at any time in order to save your progress and continue later. In order to process your application there will be an $50 fee to pay at the end. Once your fee and application are submitted, we will reach out with further details to continue the application process. The deadline for submission is Thursday, Dec 9th 2021 at 11:59pm.
Picture
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Personal Information
First Name (as appears in Passport)
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Middle Name (as appears in Passport)
Last Name (as appears in Passport)
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Name you preferred to be called
Hebrew Name
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Date of Birth
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Month
 /
Day
Year
Date
Home Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Applicant Mobile Number
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Please enter a valid phone number.
Applicant Email
*
example@example.com
Applicant Home Number
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Please enter a valid phone number.
Passport Number
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Passport Expiry
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Country Issuing Passport
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Citizenship(s)
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Current School
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Synagogue
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Rabbi
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Rabbi Phone Number
Please enter a valid phone number.
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Family Information
Father's Name
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First Name
Last Name
Father's Birth Date
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Month
 /
Day
Year
Date
Father's Citizenship
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Father's Occupation
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Father's Email
*
example@example.com
Father's Mobile Number
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Please enter a valid phone number.
Mother's Name
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First Name
Last Name
Mother's Maiden Name
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Mother's Birth Date
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 /
Month
 /
Day
Year
Date
Mother's Citizenship
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Mother's Occupation
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Mother's Email
*
example@example.com
Mother's Mobile Number
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Please enter a valid phone number.
Marital status
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Please Select
Married
Separated
Divorced
One parent deceased
Both parents deceased
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Father
Mother
High School
Yeshiva/Sem
Secular Educational Background
If you live with a guardian, please write his/her name and relationship to you
Other important information regarding your parents you feel we should be aware of.
Sibling Information
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Name
Age
School/Occupation
Yeshiva/Sem
Sibling 1
Sibling 2
Sibling 3
Sibling 4
Sibling 5
Sibling 6
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Education
Name of Elementary School (1)
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Location
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Years Attended (from-to)
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Name of Elementary School (2)
Location
Years Attended (from-to)
Name of Secondary School (1)
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Location
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Years Attended (from-to)
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Name of Secondary School (2)
Location
Years Attended (from-to)
Colleges, Universities
Jewish Schools
If not already included above
High school GPA
SAT/ACT/GCSE
Fill out whichever of the below sections is relevant to you:
*SAT Scores:
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Score
Math
Reading
Date of SAT test
*ACT Scores:
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Score
English
Math
Reading
Science
Composite
Date of ACT test
*GCSE Scores:
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Extra Curricular Activities
Describe your extracurricular activities in and out of school
Previous visits to Israel: Indicate date(s) and program(s)
Work Experience
List the other Israel Programs to which you are applying
List the colleges to which you are applying
Summer
Please tell us how you spent the last three summers - e.g. the camp you attended or if you engaged in another activity provide additional details
Last Summer
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Additional Details (if any)
2 Summers Ago
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Additional Details (if any)
3 Summers Ago
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Additional Details (if any)
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References
Please list at least 2 people who will be writing letters of recommendation for you. Please download the recommendation form below to send to your references to fill out and send to us at seminary@aish.com
Name
*
Position
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Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Relationship to applicant
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Name
*
Position
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Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Relationship to applicant
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Name
Position
Phone Number
Please enter a valid phone number.
Email
example@example.com
Download recommendation form below and send to your references - they must send it back to us at seminary@aish.com
Guidance Counselor's email
example@example.com
Release Authorization
Please note: Some recommenders may refuse to write a letter for you unless you waive your rights. You may want to check with your recommender to see if they follow such a policy. Also, knowing you do not intend to read your recommendations helps reassure seminaries that the letters are candid and truthful.
Waiver
I waive my rights to be able to read recommendations/supporting documents.
I DO NOT waive my rights to be able to read recommendations/supporting documents
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Family in Israel
Please list family or close friends in Israel, if any
Name
First Name
Last Name
Address
Phone Number
Please enter a valid phone number.
Relationship
Name
First Name
Last Name
Address
Phone Number
Please enter a valid phone number.
Relationship
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Essay
In up to 250 words, please give us a brief autobiographical sketch of your life.
Please choose one of the following topics for your essay. This is your chance to stand out - make sure your uniqueness and personality come out.
Reflect on a crucial moment in your life and describe the moment. If you had the opportunity to go back and change that moment, would you do so? Why or why not? If yes, how would you change it?
Reflect on a time when your religious identity was challenged. How did you respond? Would you respond the same way today?
Choose a quotation that describes who you are as a person and explain why this quotation captures the 'essential you.'
The person or event that most influenced your Jewish development.
Please put your essay here:
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Medical Questionnaire
Please list any dietary requirement and/or food allergies
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Height
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Weight
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Have you suffered from or have a family history of: tuberculosis, epilepsy, emotional disturbances, heart diseases, asthma, diabetes, digestive tract diseases, other diseases. If yes, please give details.
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Please list any hospitalizations and diagnosis. Include details and dates.
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Have you ever received psychological counseling? Please include details.
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Are you allergic to any medications? If so, indicate which medications.
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List any other allergies:
Have you ever suffered from an eating disorder? If so, please include details.
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Have you ever been diagnosed with ADD / ADHD?
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Yes
No
If so, have you ever taken medication?
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Please list any medication that you have taken regularly at any point over the last three years.
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What was the condition the medication was for -- and is it still ongoing?
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Please list all medications you are presently taking and their dosages
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Have you been diagnosed with any mental health related issue over the past three years (depression, anxiety, etc). If so, please include details.
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Is there anything further about your medical or psychological health that we should be aware of?
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Please download the medical form below. Once this form is filled out by your physician, please upload it in the upload space below.
Please upload your completed medical form here.
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Signatures
I hereby authorize my schools and/or service providers to release all educational and psychoeducational information regarding my application.
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I agree
To the best of my knowledge, the information included in this application is both accurate and complete. Please submit my application to the schools I selected.
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I agree
Applicant Signature
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Clear
Parent/Guardian declaration: To the best of my knowledge, the information included in this application is both accurate and complete.
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I agree
Parent/Guardian Signature
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Clear
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Additional Forms
Please upload any additional documents that you would like to share (e.g. resume, school transcript etc.)
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Payment
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Gesher for Women App Fee
$
50.00
Credit Card Details
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Last Name
Credit Card Number
Security Code
Card Expiration
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