General InformationName(Required) First Last Hebrew Name Mother's Hebrew Name Maiden name or as known in MC Current Residence(Required) City State / Province / Region AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone(Required)Email(Required) Do you agree to have your contact information published in the Machon Chana Alumnae Directory?(Required) Yes No Tell us about your experience in Machon ChanaYear(s) you attended Machon Chana(Required) (If multiple years, separate by comma)What program did you attend?(Required) Full-time Part-time Sunday Evening Yeshivacation Manhattan Michlelet Chana Ohr Chana LIFT Which dormitory (Apartment) did you live in while at Machon Chana?(Required) 1367 President Street 827 Eastern Parkway 556 Crown Street I did not live in the dorm For what are you thankful to Machon Chana?(Required) What are your fondest memories in Machon Chana?(Required) We’d like you to share fond memories or highlights of your time learning/living there. Were there any specific individuals you feel have touched your life? How have you benefited from attending Machon Chana? How has the experience impacted your life and outlook over the years?What role are you taking in the community you live in?(Required) What skills or talents would you like to offer?(Required) Computer/tech savvy Zoom literate Artistic/graphics Musical Writing/journalism Story writing Time to make phone calls Fundraising Decorating Hosting Organizing Publicity Other Would you like to be involved in the jubilee year projects?(Required) Yes Not available Please share photos of yourself(Required) Drop files here or Select files Max. file size: 32 MB, Max. files: 10. Preferably formal picturePlease share photos of your family(Required) Drop files here or Select files Max. file size: 32 MB, Max. files: 10. Your family. If applicable your chabad house.About your children: Name - Last Name - Current Place of Residence We would appreciate if you can share with us the name of your children (They too are Rebbetzin Chana's children)
