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Machon Smicha Application

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Name

Email address

Telephone no.

Full Hebrew Name (please type in Hebrew)

Father's full Hebrew name (please type in Hebrew)

Mother's full Hebrew name (please type in Hebrew)

Brithdate

Address (include city, state, zip, country)

Family Status

Tell us a little about yourself, and your level of Jewish observance

Current Occupation

What is your highest level of Jewish education?

How well can you read and translate Shulchan Aruch on your own?

Name of reference (rabbi who can vouch for your character and religious observance)

What is your relationship to your reference?

Reference phone no.

(If applying for smicha course:) Why do you want smicha?

I accept the Machon Smicha Application Terms and Conditions (see below)

Yes

I affirm that, to the best of my knowledge, all the information provided above is true

Yes