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

Application for NEW Mesivta students