Mesivta Application

Thank you for applying to Yeshivas Ohr Reuven.

After we have received your completed application, we will contact you to schedule a Farher and General Studies examination.

Should you have any questions or concerns, please contact the Yeshiva at 845-362-8362

We look forward to meeting you in person!

Rabbi Ari Medetsky, Menahel

Rabbi Y. Bentzion Bamberger, Mashgiach

Is the applicant a current YK student?

Student Information

Last Name

First Name

Application for admittance to term

Application for admittance to grade

Date of Birth

Place of Birth

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

Contact Information

Home Address

Apt

City

State

Zip

Home Phone Number

Parent's Marital Status

Applicant Lives With

Parents

Shul Attending

Languages Used at Home

Father

Fathers English Name

Father's Hebrew Name

Father's Place of Birth

Father's Occupation

Father's Name of Company

Father's Business Address

Father's Business Telephone

Father's Cell Phone

Father's Email Address

Mother

Mother's English Name

Mother's Hebrew Name

Mother's Place of Birth

Mother's Occupation

Mother's Name of Company

Mother's Business Address

Mother's Business Telephone

Mother's Cell Phone

Mother's Email Address

Previous Schools

Name of School

Address

From

Phone

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References

Please list two personal references.

Name

Phone

Relationship

Name

Phone

Relationship

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Siblings

Name

Age

School Attending

Name

Age

School Attending

Name

Age

School Attending

Name

Age

School Attending

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Summer Camp

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

Name of Camp

Year

Name of Camp

Year

Name of Camp

Year

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.

Disclaimer

No student will be admitted into the Yeshiva until he has been interviewed by the Hanhala and has passed entrance exams for bothour 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 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 OhrReuven’s course of study reflects a commitment to excellence in Kodesh and Secular studies, combined with a commitment toHalacha. We agree to share and support the school’s philosophy and policies.

Father's Signature

Date

Mother's Signature

Date

Applicant's Signature

Date

Please attach a colored photo of the applicant.

Please ask your son's current school to send the following items directly to the Yeshiva:

Rebbi and Menahel report Click here to download
7th and 8th grade report cards