Machon Menachem - Chabad of East Boca Raton

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Application for Machon Menachen
Boca Raton Rabbinical College
Year 5772 ~ 2011/2012

Deadline for registration is Friday, July 8, 2011

Student's information

Student's name:
Student's date of birth
Student's Address
City, State, Zip
Country
Student's Email
Student's Phone #

Parents' information

Father's name
Father's Work address
Father's best contact number
Father's Email
Father's occupation

Mother's name
Mother's work address
Mother's best contact number
Mother's email
Mother's occupation

Yeshivos attended

Yeshiva attended last year (5771)
Rosh Yeshiva's name
Rosh Yeshiva's number
Yeshiva attended two years ago (5770)
Rosh Yeshiva's name
Rosh Yeshiva's number

List three people as references

Name	Relation	Phone number	Email address

Who is your Chavrusa for Semicha?

What is your reason for choosing our program?

Deadline for registration is Friday, July 8, 2011

There is a $150 application fee. Please click here and make the payment before submitting the form.

Tuition is set at $3,500. We will notify you of your acceptance within 2 weeks of your submission. Upon acceptance, you will receive, the complete registration package.

Chabad of East Boca Raton • 120 NE 1st Avenue • Boca Raton, FL 33432 • 561-417-7797