Keshet Yehuda Registration
You are registering for Keshet Yehuda Pre IDF Academy and Yeshiva
Email address *
First name *
Last name *
Hebrew name
Date of birth *
MM
/
DD
/
YYYY
Your age *
Citizenship(s) *
Non Israeli passport number and country
Israeli passport number (If you have one)
Israeli ID (if you have one)
Country of birth *
Address
City *
State *
Zip
Mobile phone *
Home phone *
Parents *
Who do you live with? *
Father's first name *
Father's Hebrew name
Father's email
Father's mobile number *
Father's profession *
Father's employer *
Mother's first name *
Mother's last name if different from the fathers'
Mother's maiden name *
Mother's address if different from the fathers'
Mother's mobile number *
Mother's email *
Mother's profession *
Mother's employer
Where you born of a Jewish mother? *
If you, your mother, or her mother were converted, please specify with which Rabbi, where, and when
Please scan and upload copies of all available conversion certifications.
Number of siblings *
Where you adopted?
If yes, at what age?
What shul do you go to? *
Title and last name of your Rabbi *
Rabbi's phone number *
Rabbi's email *
What high school do you go to? *
City and state of high school *
Title of your Israel guidance counselor (Rabbi, Mr. etc.)
Frist Name and number of your Israel guidance counselor
Last Name and number of your Israel guidance counselor
Israel guidance counselor email
Israel guidance counselor phone number
Level in general Jewish studies *
Level in Gemara *
Level in TANACH *
Level in Halacha *
Level of Hebrew speaking & understanding *
Level of Hebrew reading *
IDF Plans *
Why do you or would you want to serve in the IDF? *
What are your goals for the coming year? *
Are you planing Aliyah?
What do you thing your biggest challenge is that you are hoping to overcome by attending Keshet? *
Anything else you want to share with us that you feel is important for us to know?
How did you hear about us? *
If by internet, what search term(s) did you use?
Where does Keshet fall in your list of choices for a program? *
Required
If Keshet isn't your first choice, who is?
If you found it by internet, what search term(s) did you use?
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