Mesivta Waitlist Form

Welcome to Yeshivas Ohr Reuven!

Due to space limitations, we are no longer accepting formal applications for 10th & 11th grade. Should you wish to have your son placed on our waiting list, you can fill out this waitlist form.

If we can be of assistance with anything, feel free to contact Mrs. Weitz, Admissions Director, at 845.362.8362, ext.#105 or at [email protected].

Application Instructions

*starred fields are required

Please ask your son's current school to send the following item directly to the Yeshiva: (Not applicable for Yeshiva Ketana Ohr Reuven talmidim.)

Rebbi and Menahel report Click here to download

Please attach your report cards from the past two years here or email them to [email protected] (Not applicable for Yeshiva Ketana Ohr Reuven talmidim.)

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Student Information

Last Name*

First Name*

Application for admittance to term*

Application for admittance to grade*

Date of Birth*

If foreign born, Place of Birth

If foreign born, year of arrival in U.S.A.

Parents

Parents' Marital Status*

Languages Used at Home

Father

Father's Title*

Father's Name*

Father's Occupation*

Father's Name of Company*

Father's Business Address*

Father's Business Telephone*

Father's Cell Phone*

Father's Email Address*

Father's Place of Birth

Mother

Mother's Title*

Mother's Name*

Mother's Occupation*

Mother's Name of Company*

Mother's Business Address*

Mother's Business Telephone*

Mother's Cell Phone*

Mother's Email Address*

Mother's Maiden Name*

Mother's Place of Birth

Contact Information

Home Address*

Apt

City*

State*

Zip*

Home Phone Number*

Applicant Lives With*

Preferred method of contact*

Technology

Do you have internet access in your home?*

Are all internet capable devices in the home filtered?*

Grandparents

If a grandparent remarried, please select “+ Add More”. This will provide us with correct names and mailing information.

Relationship

Does student have grandparents?*

If a grandparent remarried, please select “+ Add More”. This will provide us with correct names and mailing information.

Relationship

Does student have grandparents?*

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Current School

School Name*

Address*

Phone*

Start Date*

End Date*

Previous Schools

School Name*

Address*

Phone*

Start Date*

End Date*

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Current Rebbe*

Current Rebbe's Phone Number*

Current Rebbe's Email Address

Current General Studies Teacher*

References

Please list two personal references.

Name*

Phone*

Relationship*

Name*

Phone*

Relationship*

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Siblings

Name*

DOB*

School Attending*

Name*

DOB*

School Attending*

Name*

DOB*

School Attending*

Name*

DOB*

School Attending*

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Summer Camp

Please list the past three summer camps that your son has attended.

Name of Camp*

Year*

Halves*

Name of Camp*

Year*

Halves*

Name of Camp*

Year*

Halves*

Intended Application

Please list all other high schools to which you have sent or plan to send applications.*

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Other Information

From whom did you obtain information concerning Ohr Reuven?*

What are your reasons for selecting Ohr Reuven?*

Does your son have any limitations (physical, emotional, learning, ets.) of which the yeshiva should be aware?*

Is your son currently taking, or has ever taken, any medications? If so, please specify.*

Has your son ever incurred any serious illness or accident?*

Does your son have an Individualized Education Program (IEP) or receive mandated services?*

Has your son ever been dismissed from school? If so, please explain.*

Additional Application Notes

Disclaimer

No student will be admitted into the Yeshiva until he has been interviewed by the Hanhala and has passed entrance exams for both our Kodesh and General Studies departments .

Space availability varies from class to class. It is therefore advisable to apply early.

Timely application is particularly important for those interested in need-based scholarships or Beis Medrash dormitory accommodations.

Signature

By affixing our names in the below boxes, we are applying for admission to Yeshivas Ohr Reuven for the upcoming academic year. We understand that Yeshivas Ohr Reuven’s course of study reflects a commitment to excellence in Kodesh and Secular studies, combined with a commitment to Halacha. We agree to share and support the school’s philosophy and policies.

Parent's Signature*

Date*

Applicant's Signature*

Date*

Please attach a colored photo of the applicant.*

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Code (Not Required)