Bechina Stipend Inquiry Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please fill out this form to sign up for מבחני אורייתא - After filling out form and registering you will be emailed instructions with the details of the program.

Note: You must follow the daily Oraysa Amud and chazara regularly to receive monthly stipend.

Email *

First Name *

Last Name *

Home Address *

City *

State/Province *

Zip Code *

Date of Birth (must be married or a bochur 23+ to receive stipend) *

YYYY

Occupation *

Home Phone *

Cell Phone *

Are you currently following the daily Oraysa schedule? *

Yes

When did you start learning Oraysa? *

Berachos

Shabbos

Eruvin

Pesachim

Rosh Hashanah

Yoma

Sukkah

If yes, are you part of a chabura?

Yes

Clear selection

Name of your Chabura/Bais Medrash?

Testing Preference

Written

Online

Clear selection

Have you completed this form in the past? *

Yes

Feedback to Oraysa

THANK YOU FOR SIGNING UP TO מבחני אורייתא

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms