Application for Mashgiach Position
PERSONAL INFORMATION
Picture of applicant
*
Name
*
First Name
Last Name
Full Hebrew Name
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Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Previous Addresses
List any Addresses that you have lived in previously
Home Phone Number
Please enter a valid phone number.
Cell Phone Number
*
Please enter a valid phone number.
What languages do you speak?
*
English
Hebrew
Spanish
Other
Are you legally eligible to work in the U.S?
*
Please Select
Yes, I am American Citizen and legal to work
No, I am Interested in signing up for the R1 Visa program
Do you have a valid U.S tourist/student visa?
*
Please Select
Yes
No
File Upload
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***Important Note***
The R1 visa program is only available to holders of valid tourist/student visas. We recommend you contact your local U.S embassy and apply for a visa. You may proceed with this application if you wish, but your submission will not be considered until you have your valid U.S Visa.
Date of Birth
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Month
-
Day
Year
Date
City you were born in?
*
Do you have a social media account? (E.G, Facebook, Instagram, Twitter)
*
Yes
No
Link to Facebook Page
Place a link url to your Facebook page
Link to Instagram Page
Place a link url to your Instagram page
Link to Twitter Page
Place a link url to your Twitter page
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PLEASE ANSWER THE FOLLOWING QUESTIONS:
Is your mother Jewish from birth?
*
Please Select
Yes
No
if no, please upload a copy of your conversion documents
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Are you fully Shomer Torah V’Mitzvos?
*
Please Select
Yes
No
How long have you been Shomer Shabbos?
*
Are you shomer negi'ah?
*
Please Select
Yes
No
Do you wear Tzitzis & Kippa?
*
Please Select
Yes
No
Do you put on teffilin daily?
*
Please Select
Yes
No
I am a Female, so NO
Do you attend daily minyanim?
*
Please Select
Yes
No
If yes, where do you attend daily minyanim?
*
Can you read Hebrew?
*
Please Select
Yes
No
Marital status?
*
Please Select
Single
Married
Divorced
Dating
If married, please answer the following questions
If dating, please answer the following questions
Is your spouse / person who your dating Jewish from birth?
*
Please Select
Yes
No
If no, please upload a copy of your spouse / person your dating conversion documents
*
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Does your spouse / person you are dating level of Tznius conform to the standard of mainstream Orthodoxy?
*
Please Select
Yes
No
Sometimes
Do you keep the laws of Taharas Hamishpacha?
*
Please Select
Yes
No
What is this?
Does your spouse cover her hair?
*
Please Select
Yes
No
Sometimes
Spouse's English Name
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Spouse's Hebrew Name
*
How many children do you have?
*
Names, Ages & School Attendance of all children
*
Describe your kashrus observance at home
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if different outside of your home than inside, explain.
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PERSONAL HISTORY
Mother's English Name
*
Mother's Hebrew Name
*
Father's English Name
*
Father's Hebrew Name
*
Which Synagogue do you attend?
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Rabbi of Synagogue?
*
Full address of Synagogue
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Synagogue Phone Number
*
Please enter a valid phone number.
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EDUCATION
Grad School
Religious School
High School
College or Yeshiva
Degree obtained
Special training or other degrees obtained
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EMPLOYMENT HISTORY
List name of company & position beginning with the most current
May we contact previous employer?
*
Please Select
Yes
No
REFERENCES
List at least three & one must be from most current employer
*
Includes Email, Phone & Relationship
SPONSORING RABBI:
Please list one local Rabbi, preferably who’s Shul you will daven at, who will agree to sponsor you. That means we will consult with this Rabbi on an ongoing basis to ensure you still meet the qualifications of Mashgiach.
Sponsoring Rabbi's Name
*
Rabbi
Prefix
First Name
Last Name
Sponsoring Rabbi Number
*
Please enter a valid phone number.
Sponsoring Rabbi Email
*
example@example.com
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QUALIFICATIONS:
Describe how your background and strengths would make you a strong candidate for the position you are seeking.
*
Please use this space to tell us anything else about yourself that you feel is relevant.
*
CONCLUSION
To the best of my knowledge, the information provided in this application is true
Signature
*
Date of Application Submission
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Month
-
Day
Year
Date
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