5787 Application for NEW Mesivta student

5787 Application for NEW Mesivta student

Application for NEW Mesivta students
Dear Parents,

Thank you for your interest in the Detroit Mesivta. Before filling out the application, please note:

- Only completed applications (including contact information for references) will be considered.

- Due to limited space, we are unable to accept all deserving applicants. We encourage you to simultaneously explore other options.

- The review process takes time. For updates, email applications@lubavitchyeshiva.org. Please notify us if you find another option.

- If there is potential for acceptance, we will contact you for an interview (which does not guarantee acceptance.) Decisions are usually finalized before Pesach but may take longer.

- The $300 application fee is non-refundable (including if a student is not accepted.)

We appreciate your understanding and patience.

Hanhala
Students Name

First NameLast Name
Nickname (what he goes by)
Please upload a current picture of your son

Cancelof
English Birthday

MonthDayYear
Hebrew Birthday
Hebrew Month
Hebrew Day
Hebrew Year
Which Shiur are you applying for?
Please Select
Address

Address

CityState

Zip
Father's Name

First NameLast Name
Father's occupation
Father's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Father's Email
example@example.com
Mother's Name

First NameLast Name
Mother's Maiden Name
Mother's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mother's Email
example@example.com

I understand that if my child is accepted to Lubavitch Mesivta, I accept the rules and regulations of the school. Please type your first and last name as your sign of agreement:

First NameLast Name
Email of Parent filling out form
example@example.com
Date

MonthDayYear
Date

Application fee

$300 Non-Refundable Application fee

non-refundable

$300.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Should be Empty: