Mesivta Bnai Torah Application 2025

Part 2/4 - School Information
Name of Current Yeshiva*
Menahel's Name*
Menahel's Phone #*
Please enter a valid phone number.
Current Grade*
Current Rebbi's Name*
Rebbi's Phone #*
Please enter a valid phone number.
Last Year's Rebbi's Name*
Last Year's Rebbi's Phone #*
Please enter a valid phone number.
Has your son ever been dismissed from school due to poor scholarship?*

YesNo
Has your son ever been dismissed from school due to disciplinary reasons?*

YesNo
Please download and forward the following Student Evaluation Form to your son's Menahel & Principal:

Student Evaluation Form

Part 3/4 - Family Background
Please list your son's notable achievements*
What summer camps did your son attend over the past 2 years?*
What is your son's ambition in life?*
Who is your family's Rav?*
Are all technological devices in your home filtered? If yes, please provide the filter name*
Has your son had any serious illness that we should know about?*
Does your son have any physical or cognitive disabilities?*
Is your son currently taking any medication? If yes, please specify*
Please list the other members of your family:*

Part 4/4 - Confirmation
It is understood that the registration of all students admitted to the Yeshiva is subject to the following conditions:

-Attendance at the Yeshiva is a privilege, not a right. Therefore, attendance at the Yeshiva is dependent upon the maintenance of satisfactory work both in Limudei Kodesh and General Studies.

-Students are required to familiarize themselves and abide by all the regulations of the Yeshiva.

-Students are expected to uphold the moral principles and good name of the Yeshiva at all times, both in Yeshiva and in their external activities.
We understand the educational policy of Mesivta Bnai Torah, and this application is accurately completed with our knowledge, consent and approval
Father's Signature*

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Mother's Signature*

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Should be Empty:

Mesivta Bnai Torah of Waterbury Application