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. This class is FREE. Participants are also eligible to receive a monthly payment as an incentive to join daily and write 1 weekly essayTrack 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) This class is FREE. Participants are eligible to receive a monthly payment as an incentive to join daily and write 1 weekly essayTrack 3 Women's Academy (Wednesdays at 12:30 p.m. -1:15 p.m.) A "Women Only" Torah class. This class is FREETrack 4 special guest speaker program. (every Thursday at 3:00 p.m. we try to have guest speakers share insights and inspiration with us) This class is FREE2. I can (check all that apply)Not read HebrewRead Hebrew but can't translateRead Hebrew and translateSpeak Yiddish3. If you are interested in the daily classes (Track 1 or 2) then fill this out. For once-a-week classes (Track 3 or 4), leave this blank and proceed to question 4.I would like to participate but I do not want to write the 1 weekly essayI would like to participate and write 1 weekly essay but I do not care for the monthly payment incentiveI would like to participate daily and write 1 weekly essay and I would like to receive the monthly payment incentive4. 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-mail*8. 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.