Full Time Registration

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Full Time Registration – Michlelet Chana

Home / Full Time Registration

Step 1 of 7

I. Personal Information
Legal Name*
As shown in the passport
First Last
Hebrew Name
If different from legal name
First Last
Passport Number*
Country issuing passport*
Country
Passport expiry date*
Date Format: MM slash DD slash YYYY
Date of birth*
Place of birth*
City Country
Home Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Student Phone*
Student Email
Student photo*
Please upload a recent picture of yourself

II. Parents
Father's Information*
First Name Last Name Occupation Cell Phone Email
Mother's Information*
First Name Last Name Occupation Cell Phone Email
Family status*
- Married
- Divorced
- Widowed

III. Education
Elementary school*
Name Location
Middle school*
Name Location
High school*
Name Location
Seminary*
Name Location Start year Graduation year Principal's name Phone

V. Course Study
Michlelet Chana offers Kodesh Studies paired with your choice of 2 tracks:
- Vocational Training
- Leadership and Shlichus Training
There is a minimum of 16 Kodesh courses/week to take to be able to attend the seminary & get a student visa I-20.
There is a minimum of 4 Kodesh courses/week to take to be able to learn vocational Training/ Shluchos Prep.
Choose the track that you would be interested in*
- Vocational Training
- Shlichus Training
Do you need accomodations?*
- Yes
- No

VII. References
Reference #1*
Title Name Phone Relationship to you
Reference #2*
Title Name Phone Relationship to you
Product Name

Language	Reading comprehension	Understands a conversation	Speaks

Step 1 of 7

I. Personal Information

II. Parents

III. Education

IV. Languages

V. Course Study

VI. Personal Questionnaire

VII. References

Registration process

QUICK ACCESS TO COURSES

Full Time Registration

Step 1 of 7

I. Personal Information

II. Parents

III. Education

IV. Languages

V. Course Study

VI. Personal Questionnaire

VII. References

Registration process

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