Apply for Toras Dovid Community Kollel
Last Name *
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First Name *
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Middle Name *
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Full Legal Name *
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Hebrew First and Last Name
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Home Address
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City
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State/Province
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ZIP/Postal Code
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If you have a different mailing address than above, write it here
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Cell Phone *
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Home Phone
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Email Address
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Date of Birth
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Country of Birth
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Citizenship
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Shul
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Father’s Name (English and Hebrew)
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Mother’s Name (English and Hebrew)
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Mother’s Maiden Name
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Date of Marriage (if applicable)
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Officiating Rabbi
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Occupation
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Employer
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Past Employers
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Secular Education - High School (please list full name of school)
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Degree(s) - please list
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Certificates (if applicable) - please list
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Jewish Educational Background - Schools (please list full names of schools and dates you attended those schools)
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Which Gemaras have you learned over the past two years?
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Number of Children in Your Family
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Please describe your interests and hobbies.
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Please describe what involvements you have in the community or which organizations you’ve been involved/affiliated with.
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Please provide 2 references, including at least 1 Rabbinic reference. Please include phone number and email address (if applicable).
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Please describe your medical history.
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Any medications or other details?
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Are you a Cohen, Levi or Yisroel?
Do you or any of your family members convert to Judaism? If yes, please describe.
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Why do you wish to join the Kollel?
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