Application for Levi Yitzchok Retiree Academy

1. Please choose which track/s you are interested in: (check all that apply)

Track 1 Men's Academy (Sunday thru Friday,10:00 a.m. – 11:00 a.m.) Talmudic Study. Class is FREE. You can earn a stipend for writing 1 weekly essay.Track 2 for men & women - Sundays from 3:00 p.m. - 4 :00 p.m. Study the Summarized Code of Jewish Law. Class is FREE. You can earn a stipend for writing 1 weekly essay.Track 3 for men & women - Mondays from 3:00 p.m. - 4 :00 p.m. Study the Book of Jeremiah. Class is FREE. You can earn a stipend for writing 1 weekly essay.Track 4 for men & women - Tuesdays from 3:00 p.m. - 4 :00 p.m. Study a Chassidic Discourse. Class is FREE. You can earn a stipend for writing 1 weekly essay.Track 5 for men & women - Wednesdays from 3:00 p.m.- 4:00 p.m. Study an essay from the Lubavitcher Rebbe. Class is FREE. You can earn a stipend for writing 1 weekly essay.Track 6 for men & women - Thursdays from 3:00 p.m. - 4:00 p.m. This weekly class teaches mindblowing insights from the Ohr Hachaim Hakodosh. Class is FREE. You can earn a stipend for writing 1 weekly essay.

2. I can (check all that apply)

Not read HebrewRead Hebrew but can't translateRead Hebrew and translateSpeak Yiddish

3. Full Name

First Name Last Name

4. Hebrew Name

5. Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

6. E-mail*

7. Phone Number

Area Code Phone Number

Please list two references:

8. Reference 1: Full Name

First Name Last Name

Explain how he/she knows you

Phone Number

Area Code Phone Number

E-mail

9. Reference 2: Full Name

First Name Last Name

Explain how he/she knows you

Phone Number

Area Code Phone Number

E-mail

10. What is your highest level of education?

11. What was your occupation/s?

12. Which of the following do you own? (check all that apply)

13. What would you like to gain from this program? (Include any specific topics of interest)

14. Please tell us a little about yourself? (Include hobbies, volunteering, affiliations, etc)

Thank you for applying to the Levi Yitzchok Senior Academy. Please allow up to two days for a response.

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Application for Levi Yitzchok Retiree Academy

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Torah and Tea

Cafe Chai

Chanuka Jewish Music Event

Shabbat Dinner

Levi Yitzchok Retiree Academy