Part Time Application "*" indicates required fields Name* First Hebrew Last Mother's Hebrew Name* 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 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 Semester*FallSpringSummerPhone Number (Home, Cell)* Home Cell Date of Birth* MM slash DD slash YYYY Marital Status*SingleMarriedWidow/ DivorcedAre your parent’s Jewish*MotherFatherConvertedEmail* What other topics are you interested in?* Describe your level of learning.* Describe your level of observance.* Describe your prior education.* In case of emergency, please contact:* Name Cell number Relationship Sunday Courses 9:30 Tanya - Rabbi Naftali Silberberg 10:30 Hilchos Shabbos - Rabbi YY Barber (Michlelet) / Kitzur Shulchan Aruch - Rabbi Yankel Katzman (Machon) 11:45 Inyonei Moshiach V'Geula - Rabbi Levi Garelik 1:00 Dvar Malchus - Rabbi Folly Dubov (Michlelet) / Hebrew Language - Mrs. Rivka Malachowski (Machon) 1:50 Novi - Rabbi Shmuel Aber 2:50 Emunah V'Bitachon - Rabbi Yitzchok Dubov (Michlelet) / Hebrew Reading - Miss Mushky Wagner, Miss Chaya Mushka Halsband (Machon) Choose courses you will be taking.Evening Courses Sunday: (5:15) Communications in Marriage - Mrs. Gavriella Aber (6:50) Tanya (Igeres HaTeshuva) - Rabbi Shlomo Sternberg (8:00-9:30) Vocational Courses: Wigs/Interior Design Monday: Vocational Courses (8:00-9:30) Makeup/Graphic Design Tuesday: (5:15) Jewish Home - Mrs. Sara Junik (6:50) Elementary Teaching Skills - Mrs. Rivka Holzman (7:50) Maamar ס"ו - Rabbi Yosef Meijers (8:30-9:30) Guest Speaker - TBA Thursday: (5:15) Halacha - Rabbi Shmuel Samuels (6:55) Yoma D'Pagra/Megillah - Rabbi Michoel Seligson (7:45) Early Childhood Teaching Skills - Mrs. Sarah Chuzhin (8:45) Farbrengen - Rabbi Osher Kravitsky Choose courses you will be taking.Morning Classes (Monday - Thursday) 8:00-8:50 (M,W) Maamar- Rabbi Yitzchok Dubov 8:00-8:50 (Tu,Th) Maamar Mitzvas Ahavas Yisroel - Rabbi Yankel Katzman 9:45-10:15 (M,Tu,Th) Halacha - Rabbi YY Barber 9:45-10:15 (W) Igros - Mrs. Mushky Katzman 10:15-11:15 (M,Th) Tanya - Rabbi Peretz Schapiro 10:15-11:00 (Tu) Tanya - Mrs. Rochi Wagner 10:15-11:00 (W) Jewish Home - Mrs. Sara Junik 11:15-12:15 (M) Inyonei D'Yoma - Rabbi Levi Garelik 11:00-12:00 (Tu) Concepts in Chassidus - Rabbi Chananya Hoffinger 11:00-12:00 (W) Chumash - Mrs. Sara Levinson 11:15-12:15 (Th) Tefillah - Rabbi Levi Garelik 12:15-1:00 (M) Chumash - Mrs. Rivka Malachowski / Sichos - Ms. Marim Chichelnitsky 12:00-1:00 (Tu) Shidduchim - Mrs. Gavriella Aber 12:00-1:00 (W) Torah Insights - Mrs. Tzameret Borevitz 12:15-1:00 (Th) SIcha on Parsha - Mrs. Shainy Oster Choose courses you will be taking.Upload a headshot of yourself.*Max. file size: 32 MB.Payment Information* Registration Fee Please e-mail Chanie Chaimson info@machonchana.org for the total price of the courses and for payment optionsThe registration fee is non-refundable I understand and accept Payment MethodPayPal CheckoutCredit Card MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Total
