Part Time Application Date*Semester Fall Spring SummerName* First Hebrew Last Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Date of Birth* Date Format: MM slash DD slash YYYY Mother's Hebrew Name*Phone Number (Home, Cell)* Home Cell Are your parents Jewish? Mother Father If mother isn't Jewish, have you converted?Email* Marital Status*SingleMarriedWidow/ DivorcedWhat is your maiden name?What other topics are you interested in?*Describe your level of learning.*Describe your level of observance.*Describe your prior education.*Describe the talents you can contribute to Machon Chana.*Sunday Courses 9:30 Tanya - Rabbi Naftali Silberberg 10:30 Hilchos Yom Tov - Rabbi Daniel Green 11:30-12:30 Daven Like A Chassid - Rabbi Shlomo Sternberg 1:00 Parsha Gems - Rabbi Shlomo SternbergChoose courses you will be taking.Evening Courses Select All Sunday: (7:00) Tshuva - Rabbi Shlomo Sternberg Sunday (8:00) Maamar - Ms. Devory Niasov Monday: (7:00) Tefillah acc. to Chassidus - Mrs. Sara Labkowski Monday (8:00) Maamar - Ms. Devory Niasov Tuesday: (7:00) Tishrei by the Rebbe - Rabbi Michoel Seligson Tuesday: (8:00) Maamar - Ms. Devory Niasov Wednesday: (7:00) Minhagim - Rabbi Zalman Hertzel Wednesday: (8:00) Maamar - Ms. Devory Niasov Thursday: (7:00) Moshiach u'Geulah - Rabbi Zushe Silberstein Thursday: (8:00) Farbrengen - Ms. Devori NiasovChoose courses you will be taking.Morning Classes (Monday - Thursday) Select All 8:15 (M-Th) Chassidus - Ms. Devory Niasov 10:30 (M,Th) Sichos Skills - Mrs. Shainy Oster 10:30 (Tu,W) Tefillah/Machzor - Mrs. Rivka Malachowski 11:30 (M,Th) Halacha - Rabbi Daniel Green 11:30 (Tu) Klalei Chinuch Vehadracha - Rabbi Shlomo Sternberg 11:30 (W) Mishlei - Mrs. Tzameret Borevitz 12:45 (M) Chinuch - Mrs. Rivka Holzman 12:45 (Tu,Th) Igeres Hateshuva - Rabbi Shlomo Sternberg 12:45 (W) Jewish Home - Mrs. Sara JunikChoose courses you will be taking.Payment Method One time payment Monthly Other:For payment options please e-mail Chanie Chaimson @ info@machonchana.org*Upload a headshot of yourself.
