Professionals Program Application

Note: If you are under age 20, please fill out the Post High School application here.

Instructions: Please answer all questions. Inapplicable items should be marked N/A.

Permanent Contact Information (out of Israel):
Mailing Street:
Mailing City:
Hebrew Name: Mailing State:
Mailing Zip:
Mailing Country:
Birthdate:
Occupation: Place of Birth:
Work Phone: Passport Number:
Tudat Zehut:
Temporary Contact Information in Israel:
Temporary Phone in Israel:
Temporary Mobile in Israel:
Local Address (if you are visiting):
Family Information:
Marital Status: Father's Name:
Date of Marriage: Father is Jewish
(Yes, No):
Spouse's Name: Mother's Name
(last, first, maiden):
Spouse's Birthdate: Mother is Jewish
(Yes, No):
Number of Children: If Not:
Names of Children: Date of Conversion:
Age of Children: Rabbi/Beis Din who converted you:
Children's Birthdates: Please Scan a copy of the Conversion Certificate.
Proposed start and end dates of study:
Please select your level of learning:
How long have you been learning & where?:
Do you have any learning disabilities?:
Do you/have you had medical conditions?:
Are you currently taking any medication?:
How did you hear about us?:
Secular Education:
Name and Place of High School Graduated:
Colleges or Universities attended:
Degrees Completed:
Have you served in the Israeli Army?:
References:
Reference #1
Name (your rav if possible):		 Reference #2
Name:
Occupation
(Ref #1):		 Occupation:
(Ref #2):
Relationship to you:
(Ref #1):		 Relationship to you:
(Ref #2):
Address:
(Ref #1):		 Address:
(Ref #2):
Phone:
(Ref #1):		 Phone:
(Ref #2):
E-mail:
(Ref #1):		 E-mail:
(Ref #2):
"I understand that Bircas HaTorah is a professional academy, that strict attendance is critical, and that consistent unexcused lateness or absence will lead to dismissal from the yeshiva." I Agree
"I have read and understand the fee schedule."

Tuition:

Annual Learning Programs

  1. All Inclusive Tuition, Room & Board Installment Plan = $15,500
  2. All Inclusive Tuition, Room & Board Discounted For Prepayment = $13,640

Short Term Learning Programs

  1. Monthly Tuition Only - Annual Commitment = $6,384 / 12 = $532
  2. Monthly Tuition Only - Discounted For 1 Year Prepayment = $5,618
  3. Monthly Tuition Only - Monthly Commitment = $560
  4. Weekly Tuition Only - $220/Week
  5. Daily Tuition Only - $75/Day

Half Day Program

  1. Annual Commitment - Installment Plan - $4,080
  2. Annual Prepayment Discounted $3,592
  3. Monthly Tuition = $340

Donations and Other

  1. Distance Learning - $35/Session
  2. Sponsor Learning - 2 Options - $180 or $360
  3. Membership - Monthly - Bronze $18, Silver $36, Gold $54
  4. Kaddish - Part of a List $250, Individual $1,500.

Residence Stay

  1. With Roommates - Monthly = $450 / Private Room = $850
  2. Residence Stay Daily Rates - With Roommates = $50/Weekday (meals included) or $50/Shabbos and Holidays (meals not included) - Private Room = $80 (meals included) or $80/Shabbos and Holidays (meals not included)