Application for Levi Yitzchok Senior Academy

1. Please choose which track/s you are interested in: (check all that apply)
Track 1A Men's Academy (Sunday thru Friday,10:00 a.m. – 11:00 a.m.) Talmudic Study and Jewish MysticismTrack 1B (8 Week Course for Women started in June, 2022) 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)Track 3 for men & women (6 consecutive Mondays at 3:00 p.m.starting June 27th) Topic: Core Faith
2. I can (check all that apply)
Not read HebrewRead Hebrew but can't translateRead Hebrew and translateSpeak Yiddish
3. Check all that apply:
I would like to do a trial periodI would like to participate dailyI would like to receive a monthly payment by participating daily and writing a weekly essayI would like to participate periodically.
4. Full Name
First NameLast Name
5. Hebrew Name

6. Address

7. E-mail*
8. Phone Number
Area CodePhone Number
Please list two references:
9. Reference 1: Full Name
First NameLast Name
Explain how he/she knows you
Phone Number
Area CodePhone Number
E-mail
10. Reference 2: Full Name
First NameLast Name
Explain how he/she knows you
Phone Number
Area CodePhone Number
E-mail
11. What is your highest level of education?
High School DiplomaBA or BSMastersPHD
12. What was your occupation/s?
13. Which of the following do you own? (check all that apply)
SmartphoneIpadComputer/LaptopChromebookTablet
14. 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.
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