Kingston Mesivta Student Application Form 5784

Application

Please complete and submit the form below. A $200 application fee is required & may be submitted upon submission of the application.
1. Student Information
Name*

FirstLast
Date of Birth*

MonthDayYear
Yiddishe Birthday
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Please include a recent picture of the applicant.

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2. Parent Information
Father's Name*

First NameLast Name
Father Cell*

Area CodePhone Number
Father Email*
example@example.com
Mother's Name*

First NameLast Name
Mother Cell*

Area CodePhone Number
Mother Email*
example@example.com
3. Yeshiva History
Yeshiva Attended 5783 (2022-2023)*
City*
Name of Rebbi*
Rebbi Contact Information*
Cell or Email
Name of Menahel*
Menahel Contact Information*
Cell or Email
Yeshiva Attended 5782 (2021-2022)*
City*
Name of Rebbi*
Rebbi Contact Information*
Cell or Email
Camp Attended Summer 5782 (2022)*
Name of Counselor*
Counselor Contact Information*
Cell or Email
4. Student Questionnaire

You may discuss these questions with your son and answer together or he may answer on his own. More than one choice can be selected on multiple choice questions.
1. Please describe how you like to spend your free time.
2. How do you feel you have done in yeshiva this year?
3. What do you like about your current yeshiva?
4. How do you get along with your classmates?

GreatPretty wellBetter with some than with othersNot that greatOther
5. What things are you looking for in a yeshiva?
6. What do you hope to achieve over the next year in yeshiva?
7. What is your preferred style of learning?

On my ownWith a chavrusaIn a small groupIn a shiurOther
8. Please describe your level in learning Gemara

Can learn Gemara, Rashi, Tosfos on my ownCan learn Gemara, Rashi on my ownCan learn Gemara on my ownCan follow inside and review on my ownOther
9. Please describe your level of technology use

Don't use any technologyHave limited access to a filtered computerHave limited access to a filtered phone or tabletHas personal phone or tabletOther
5. Contact

For questions, to discuss anything, for more information or to check on the status of your application, please email, Office@KingstonMesivta.org
6. Application Fee

A $100 application fee is required with submission of this form. When you click "Submit Form" you will be directed to a new page in order to submit payment. Please note that this form will not submit unless the payment is processed. Thank you.
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Registration$200
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Application

1. Student Information

2. Parent Information

3. Yeshiva History

4. Student Questionnaire

5. Contact

6. Application Fee