1. Please choose which track you are interested in:Track 1A Men's Academy (Sunday thru Friday,10:00 a.m. – 11:00 a.m.) Talmudic Study and Jewish MysticismTrack 1B Women's Academy (Monday thru Thursday, 11:15 a.m. – 12:15 p.m.) Variety of Judaic topics applicable to womenTrack 2 for men & women (Sunday thru Thursday, 3:00 p.m. – 4:00 p.m.) Variety of Judaic Studies (Jewish History, Jewish Law, weekly Torah portion with modern commentaries and guest speakers from around the world)Tracks 1 & 22. I can (check all that apply)Not read HebrewRead Hebrew but can't translateRead Hebrew and translateSpeak Yiddish3. Please choose one of the following:I would like to do a trial periodI would like to participate daily.I would like to participate daily and receive a monthly payment.I would like to participate periodically.4. Full NameFirst NameLast Name5. Hebrew Name6. AddressStreet AddressStreet Address Line 2CityState / ProvincePostal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOtherCountry7. E-mail8. Phone NumberArea CodePhone NumberPlease list two references:9. Reference 1: Full NameFirst NameLast NameExplain how he/she knows youPhone NumberArea CodePhone NumberE-mail10. Reference 2: Full NameFirst NameLast NameExplain how he/she knows youPhone NumberArea CodePhone NumberE-mail11. What is your highest level of education?High School DiplomaBA or BSMastersPHD12. What was your occupation/s?13. Which of the following do you own? (check all that apply)SmartphoneIpadComputer/LaptopChromebookTablet14. What would you like to gain from this program? (Include any specific topics of interest)15. 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 weeks for a response.SubmitShould be Empty: This page uses TLS encryption to keep your data secure.