Yeshiva

Welcome to Winter Yeshiva 2021:

Prepare in advance to complete our online application form by gathering information from the questions below and obtaining photographs of the following 6 items.

1. Passport-style photo
2. Your Passport front page (if you are a non-US citizen)
3. US Driver’s License
4. Front of your health insurance card
5. Rear of your health insurance card
6. Print the Discipline Policy form, have you and your parents sign it, then photograph it.

Each photo needs to be in jpg or png form and be less than 1MB. You will attach these images, from your computer, from inside the online form.  All images must be clearly legible.

For ease of use, we recommend you use a desktop web browser, not a mobile phone, to complete your application.

Then visit the Google Docs Winter 2021 Application Form

Please prepare to answer the following questions before starting your online application:

1. First Name (as appears on passport or US driver’s license) *
2. Last Name (as appears on passport or US driver’s license) *
3. Name used in public. (e.g. Shimmy) *
4. Hebrew name (e.g. Reuven ben Shimon) *
5. Hebrew name suffix: Cohen Levi Yisrael
6. REFERENCE: Name of Most Recent Jewish School, Include Your Most Recent Rebbe and His Phone # *
7. Passport-Style Recent Photo (under 1MB; jpg or png) *
8. Passport ID page if Foreign Student (under 1MB; jpg or png)
9. Front of US Driver’s License (under 1MB; jpg or png)
10. Front of Health Insurance Card *
11. Rear of Health Insurance Card *
12. Email *
13. Street Address *
14. City *
15. State *
16. Zip Code *
17. Country of Citizenship *
18. Passport # (if foreign student)
19. Drivers License # (if US student)
20. Mobile Phone number *
21. Father’s Name *
22. Father’s Mobile Phone Number *
23. Father’s address (if different). Write SAME if the same as the student. *
24. Father’s Email *
25. Mother’s address (if different). Write SAME if the same as the student. *
26. Mother’s Name *
27. Mother’s Mobile Phone Number *
28. Mother’s Email *
29. US Emergency Contact (if foreign student)
30. US Emergency Contact Phone (if foreign student)
31. US Emergency Contact Email (if foreign student)
32. Birthday * MM/DD/YYYY
33. How Did You Learn About Us (briefly tell us how you found out about our program) *
34. What Do You Want to Gain Most from Our Program? *
35. HEALTH: Height *
36. HEALTH: Weight *
37. HEALTH: Have you or any members of your immediate family ever suffered from: asthma, allergies, digestive tract disorders, blood disorders, cancer, heart condition, epilepsy, or other notable illness? *
38. HEALTH: If Yes, Please Describe Health Issues
39. HEALTH: Have you ever undergone surgery or had a prolonged illness? *
40. HEALTH: If Yes, Please Describe Surgery or Illness *
41. HEALTH: Have you or any members of your immediate family ever suffered from a mental illness, emotional disturbance, depression, autism spectrum disorders, anxiety, learning disabilities or eating disorders? *
42. HEALTH: If Yes, Please Describe Psychological Concerns *
43. HEALTH: Please List Prescribed Medications, if Any (Bring photocopies of your current prescriptions with you.)
44. Upload photo of Disciplinary Policy form after student and both parents have signed it. Copy https://spokanesephardic.org/yeshiva/ to your browser, click the link to the form, print, sign, photograph and attach, here. *
45. Please Add Your Own Comments

Yeshiva Photo Gallery
More to Come