Machon Smicha Application

Full Name – English:(required)

Full name – Hebrew:(required)

Father's full name – Hebrew:(required)

Mother's full name – Hebrew:(required)

Email address:(required)

Telephone No:(required)

Birthdate (include year):(required)

Address (include city, state, zip, country):(required)

Family Status (single, married, etc.):(required)

Current occupation:(required)

Tell us a little about yourself:(required)

Describe your level of Jewish education:(required)

Describe your level of Jewish observance:

Do you trim/shave your beard?

How Well Can You Read and Translate Shulchan Aruch? (required) Not at all

Somewhat

Average

Above average

Fluently

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

Reference phone number:

Reference occupation:

Relationship to reference:

Which Courses Do You Intend on Taking with Machon Smicha? (required) Basar B'chalav

Melichah and Ma'achalei Aku"m

Ta'aruvos

Shabbos

All

Other

How much will your tuition be?(required)

I affirm that all the information provided above is true to the best of my knowledge:(required) Yes

Machon Smicha