Dear Applicant: This joint application may be filled out once and copied as many times as necessary but must be mailed to each school separately. Please pay attention to the individual deadlines and application fees. Each application must include two current passport photographs, your transcript, SAT scores (for U.S. students), GSCE scores (for British students), two letters of recommendation and an essay. Please choose one of the following topics for your essay: The person or event that most influenced my Jewish development. What are my goals for my year in Israel. The character in Jewish History I would most like to meet. The essay may be submitted in English or Hebrew. We look forward to meeting you! Listed below is the information for each program. All applications should be sent to the relevant addresses below. Application deadline is December 1st unless otherwise noted. Application fee is $100 unless otherwise noted. Please see reverse side for additional information. Baer Miriam Meor HaTorah College of Midreshet Lindenbaum U.S. and Canadian Applications: Judaic Studies for Women 51 Leib Yaffe St. J. Orbach US and Canadian applications: Jerusalem 93390, Israel 137-26 73rd Terr. 137-26 73rd Terrace Flushing, N.Y. 11367-2304 Flushing NY 11367-2304 Midreshet Moriah European and other Applications: European and other Applications: POB 3235 Jerusalem 91031, Israel P.O. Box 43091Har Nof, Jerusalem, Israel PO Box 43091 Application Deadline: November 28 Har Nof, Jerusalem, Israel Emunah V’Omanut Midreshet Yeud Overseas Additional application material is required. Michlelet Esther Program Please see our website for details. Rechov Beit Yitzchak 1 31 Mishol Hadkalim, Ramot Bet US and Canadian Applications: POB 43016 Jerusalem, 97278, Israel Emunah of America c\o Carol Sufian Har Nof, Jerusalem, Israel 7 Penn Plaza, New York, NY 10001 Application Deadline: not applicable Michlelet Orot European and other Applications: Application Fee: $125 Elkana 44814, Israel Emunah College c/o Rabbi David Debow Michlelet Mevaseret Nishmat – Shana Ba’aretz Program P.O.B. 10290, 104 Derech Bet Lechem Yerushalayim Rechov Michlin 27 U.S. and Canadian Applications: Jerusalem, Israel 91102 Bayit Vegan, Jerusalem 96430, Israel 2 Keri Lane Maayanot New Hempstead, NY 10977, USA Shaalvim for Women U.S. and Canadian Applications: European and other Applications: 21 Hadishon St. J. Orbach 25 Rabbi Najara Street Malcha, Jerusalem, Israel 137-26 73rd Terr. Flushing, N.Y. 11367-2304 Givat Shaul, Jerusalem 95471, Israel European and other Applications: Tiferet U.S. and Canadian Applications: P.O. Box 43091 Midreshet AMIT@ Beit Har Nof, Jerusalem, Israel Hayeled 415 Ave I, Brooklyn, NY 11230 Rechov Hashayish 9 718-253-0230 European and other Applications: Machon Gold Jerusalem 93841,Israel Rechov Hizkiyahu Hamelech 15 Tiferet Center, Nachal El-Al 10 Jerusalem 93147, Israel Midreshet Ein Hanatziv Ramat Beit Shemesh, Israel Midreshet Habanot shel Kibbutz Hadati Machon Maayan Kibbutz Ein Hanatziv Tomer Devorah U.S. and Canadian Applications: D.N. Beit Shean 10805, Israel Tomer Devorah Seminary 3209 Avenue L, Brooklyn, NY 11210 6551 N Mozart St., Chicago, IL 60645 European and other Applications: Midreshet HaRova OU Israel Center, 22 Keren Hayesod, 50 Rechov Chabad POB 37015, Jerusalem 91370, Israel Old City, Jerusalem 97500, Israel FOR_________________________________________________________________________________________ ADMISSION TO: Attach two (Name of School) (For Academic Year) original, current _______________________________________________________________________________________________________________ passport-size Family Name First Middle Hebrew (First and Family) photos _______________________________________________________________________________________________________________ Address City State/Province Zip/Postal Code Country Mailing Address ifdifferent than above: __________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________________ Telephone:Personal E-mail address: Personal ________________________________________________________________________________________________________________________________________ Parents Parents Fax: ___________________________________________________________ Social Security Number: _____________________________________________________ CURRENT SCHOOL: _______________________________________________Passport Number:_ ________________________ _________________________________ Date of Birth:month/day/year _________________________________________ Country Issuing Passport: _________ _______________ ____________________________ Place of Birth: ____________________________________________________ Synagogue:________________________________________________________________ Citizenship: ______________________________________________________Rabbi: ______________________________________ _________ ____________________ Name Phone Number FATHER: MOTHER: _________________________________________________________________________________________________________________________________________ Last Name First Last Name First Maiden _________________________________________________________________________________________________________________________________________ Occupation Citizenship Occupation Citizenship _________________________________________________________________________________________________________________________________________ Business Phone Business Fax Cell Phone Business Phone Business Fax Cell Phone _________________________________________________________________________________________________________________________________________ Address ifdifferent from the applicant: Address if different from the applicant: Educational Background:(religious and secular) ___________________________ Educational Background:(religious andsecular ) __ ____________________________________ _________________________________________________________________________________________________________________________________________ If you live with a guardian, please write his/her name and relationship to you: ______________________________________________________________________________ SIBLINGS: Name Age School/Occupation Yeshiva attended in Israel (if applicable) _________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________ EDUCATION: Name of School Location Attended (from-to) Elementary Schools __________________________________________________________________________________________________________________________ Secondary Schools__________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________ Colleges, Universities_________________________________________________________________________________________________________________________ Jewish Schools (if not included above) ___________________________________________________________________________________________________________ High School GPA: _______ SAT Scores: Math________ Verbal _______ Writing ______ Applicant’s Name ___________________________ HEBREW SKILLS: Please rate yourself (1=none, 5=fluent) Read with vowels Read w/o vowelsUnderstand Speak Write 12345 12345 12345 12345 12345 Have you had experience learning and translating Chumash with mefarshim? (Give details) __________________________________________________________ ________________________________________________________________________________________________________________________________________ Nach with mefarshim? (Give details)_________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________________ Halacha? (Give details) ____________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________________ Torah She’baal Peh? (Give details) __________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________________ Extracurricular activities - Describe your extracurricular activities in and out of school:_____________________________________________________________________ ________________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________________ What did you do the