HIGH SCHOOL APPLICATION

Metivta Application

2 Fosse, Court
Monsey NY, 10952
(845)-538-4125
Fax: (845)547-2156
Info@Tiferet.us
APPLICATION FOR ADMISSION
For School Year
Grade
Name*

First NameLast Name
Home address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of birth*

MonthDayYear
Date
Home Telephone

Area CodePhone Number
Father’s name
Occupation
Business Telephone

Area CodePhone Number
Cell#

Area CodePhone Number
E-mail
Mother’s name
Maiden name
Occupation
Cell #

Area CodePhone Number
Email
example@example.com
Parents are:

MarriedDivorcedSeparatedDeceased
Other children in family

YesNo
Number of Sisters
Number of brothers
Name of Yeshiva presently attending
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Telephone

Area CodePhone Number
Hebrew grade
Rebbi’s name
Rebbi's phone number
Menahel's Name
Menahel Phone number
List Yeshivot previously attended:
Name of Yeshivot
Years attended:
PERSONAL AND BACKGROUND INFORMATION:
List of Msechtot learned in the previous two years:
What subjects do you like best?
What subjects do you find most difficult?
What is your ambition?
Have you ever had any serious illness (specify)?
Are you presently (or recently) taking any medication?
Do you have any physical handicaps?
Summer camps attended
Shul family attends
Rabbi’s name
Rabbi's phone number
How did you hear of Tiferet Torah?
Parents’ remarks or comments
Please upload a most recent picture *

Browse Files

Cancelof

Application Fee

USDApplication Fee

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please have form below filled out by the current Menahel, and send back to Info@Tiferet.us
I hereby certify that the above information is complete and accurate.
Should be Empty: