APPLY NOW!

1. Student Information

* First & Middle name

* Last name

Hebrew name

Maiden Name (if married)

*Student Picture (1MB Max, Jpg Only)

* Date of Birth

* Place of Birth

* Intended Date of Arrival

Length of Stay

* Citizenship

* Passport Number

Social Security Number

* Marital Status Single Married Divorced/Separated Widowed

* Current Mailing Address

* Country

State

* City

* Zip

* Phone Number (with area code)

Work/Cell Number (with area code)

Fax Number (with area code)

* Occupation

* E-mail

Next >

2. Father's Information

* Father’s or Legal Guardian’s Name

Father's Hebrew Name

* Address

*Father's Occupation

* Phone Number (with area code)

Work/Cell Number (with area code)

Fax Number (with area code)

Business Address

* E-mail

< Back Next >

3. Mother's Information

* Mother’s or Legal Guardian’s Name

Mother's Hebrew Name

* Address

*Mother's Occupation

* Phone Number (with area code)

Work/Cell Number (with area code)

Fax Number (with area code)

Business Address

* E-mail

< Back Next >

4. Education

High School	Address	Type of Course	Years	Grade Pt.	Diploma


College/University (Attending or Attended)	Address	Curriculum/Major	Years	Grade Pt.	Diploma

More Education information

< Back Next >

5. JEWISH BACKGROUND AND EDUCATION

Jewish Education (including elementary, afternoon and evening schools)

Name of Institution	Address	Affiliation	Years	Grade Pt.	Diploma

Post-High School Seminary Education (please list all seminaries you attended)

Name of Institution	Address	Curriculum/Major	Years	Grade Pt.	Diploma

Please indicate below your level of knowledge in the areas listed below

	None	Minimal	Some Extent	Extensive
Hebrew Language
Conversational
Reading
Understanding
Rashi’s Script
Reading
Understanding
Jewish Philosophy
Halacha - Jewish Law
Tanach – Bible
Prayer
Jewish History

Please summarize your Jewish studies background indicating your learning skills . Which texts can you study in the original Hebrew? Which commentaries have you used on your own?

< Back Next >

6. RELIGIOUS OBSERVANCE

Do you keep kosher at home? Yes No

Do you keep kosher out of your home? Yes No

Do you keep Shabbat? Yes No

I describe myself as Orthodox Conservative Reform Unaffiliated Other

If Other please describe

Describe briefly the extent of your religious observance and practice

Which areas of emphasis would you prefer in your studies? Jewish Philosophy Development of Textual Skills Halacha (Jewish Law) Chumash (Bible) Jewish Values and Ethics Other

If Other please describe

< Back Next >

7. ACTIVITIES

List jobs which you held

Name of Business	Position Held	From	To

List organizations and movements with which you are now affiliated or have been in the past

Name of Organization	Position Held	From	To

Furnish details about your special skills, hobbies, abilities, areas of special knowledge, and extra-curricular activities

List the awards, scholarships, etc. you have received

Have you ever visited Israel before? Yes No

If yes, when, with whom, and where?

List names and addresses of close relatives in Israel

Name	Address	Phone	Relation

< Back Next >

8. RECOMMENDATIONS

List persons from whom we may expect to receive recommendations (Include rabbi and /or educator)

Name	Address	Phone	Email	Relation

From whom did you learn about Machon Alte?

< Back Next >

9. ADDITIONAL INFORMATION (Strictly confidential)

1. Height

Weight

2. Are you at present under medication? Yes No

If yes, please explain

3. Have you ever had surgery? Yes No

If yes, please explain

4. a. Have you ever consulted or been treated by a psychologist, psychiatrist, social worker or counselor? Yes No

If yes, please explain

4. b. Have you ever been given medication(s) for the above (4a)? Yes No

If yes, which medication(s), when, and for how long?

4. c. If you are now on these medication(s), please describe

5. Do you smoke? Yes No

6. Do you have special dietary needs? Yes No

If yes, please explain

7. Do you suffer from allergies? Yes No

If yes, please explain

8. Do you have a need to take any medical precautions? Yes No

If yes, please explain

9. I have been vaccinated against covid-19 Yes No

10. I have anti bodies against covid-19 Yes No

UPLOAD DOCUMENT Please upload certification

< Back Next >

10. STATUS (Strictly confidential)

I was Born Jewish Converted Jewish Adopted Other

If Other, please explain

My mother was Born Jewish Converted Jewish Adopted Other

If Other, please explain

My father was Born Jewish Converted Jewish Adopted Other

If Other, please explain

Were all your grandparents born Jewish? Yes No

If no, please explain

< Back Next >

11. MOTIVATION

What are your reasons and motivations for choosing to study at Machon Alte? What are the goals you wish to achieve by the end of your stay here and how do you intend to achieve them?

< Back Next >

12. COMPLETE AUTOBIOGRAPHICAL SKETCH

When writing your personal history, please include the following:

Attitudes towards life and Judaism at the various stages of your life
Explanations for changes in schools (if any)
Turning point in life
Main priorities in life
Attitudes and relationships with family and friends

PLEASE PROVIDE AN AUTOBIOGRAPHICAL SKETCH OR ESSAY OF NOT MORE THAN 500 WORDS.

< Back