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Home Study Semicha Application Form
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Email
*
Your email
Name
Your answer
Age
Your answer
Address
Your answer
Phone Number
Your answer
Current Occupation
Your answer
What days do you work and which hours?
Your answer
Family Status
Married
Married with children
Single
Widower
Divorced
Clear selection
Religious Affiliation
Ashkenazi
Sephardic
Lithuanian
Chassidic
Chabad
Modern Orthodox
Clear selection
Education - Where did you go to Elementary, Middle and High School?
Your answer
College Education?
Your answer
Are you a Baal Teshuvah?
No. I am Frum from Birth
I am a Baal Teshuvah
Clear selection
If you are a Baal Teshuvah please describe the person involved in teaching you religious observance and what level of learning you are currently on?
Your answer
Please outline any Halachic studies you have undertaken in the last 5 years and any current study sessions you have
Your answer
Your level of Hebrew - Reading Skills
Fluent
Good
Slow
I am unable to read Hebrew
Clear selection
Your level of Hebrew - Understand and Comprehension
Very Good
Average
Incomplete
I do not understand Hebrew
Clear selection
Your level of Hebrew - Writing
I know how to write Hebrew
I don't know how to write Hebrew
Clear selection
Why do you want to receive semicha?
Your answer
Are you interested in following a course schedule? (due dates for test and assignments)
Yes. I would like to be in a scheduled track.
No. I would like to progress at my own pace.
Are you interested in being set up with a chavrusa (study partner)?
Yes
No.
If yes, please list your hours of availability and time zone
Your answer
Which Semicha track are you interested in joining?
Yeshiva Track (online classes and follow weekly schedule)
Self Study Track (no online classes - work at your own pace)
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