Application Pack 5776 (2015-16)

Application Pack 5776 (2015-16)

In order to complete the application process properly, please carefully read and follow the instructions below. Please apply as soon as possible so we can arrange an interview for you.

1) The following two items must be sent to the Yeshiva office in addition to your application form:

a) Current Passport Photos

Include 2 passport photos with your name clearly printed on the back of each one. No photocopies can be accepted.

b) Application fee

Please includean application fee of£30.

2) Recommendations

Attached are 2 recommendation forms. They should be given to two teachers or Rabbis who know you well and mailed to our Israel address after completion. It is not necessary that they be included with your application fee & photos.

3) Submission

Application forms must be submitted by e-mail. The application fee and photos are to be sent to our Israel address by post. Upon remittance of the forms and fees a personal interview will be arranged.

Email:

Israel: Yeshivat Hakotel P.O.B. 603, Jerusalem, Israel 9100601

4) Tuition fees

Tuition for a year of studies at Yeshivat Hakotel is £14,000 and includes full-board, medical insurance, and trips.

All British students are entitled to a MASA grant upon completion of the MASA grant form.

Application Form 5776

Date of Application ______

I. Personal Information

1. Name:______

Last First Middle

______שם בעברית:

משפחה אמצעי ראשון

Name I would like to be called: ______

2. Address:______

City:______County:______

Postal Code:______Country: ______

3. Home telephone: 4. Mobile .

5. E-mail address: ______.

6. Passport number & exp. date: ______7. Citizenship: ______

8. Date of Birth: / / . __ / / ______תאריך לידה עברי:

Date Month Year שנה יום חודש

9. School Attending ______

10. Synagogue of Attendance: ______

Local Rabbi: ______Rabbi’s phone: .

11. Visits to Israel (Dates and programs, if any):

______

12. Summer activities over the past two years:

______

II. Family

Father:

Name: ______Occupation: ______

Address: ______

Home telephone: Business telephone: .

Mobile telephone: E-mail address: ______

Mother:

Name: ______Occupation: ______

Address: ______

Home telephone: . Business telephone: .

Mobile telephone: E-mail address: ______

Sibling information :

III. Your Future

Which University are you applying to/hope to attend?: ______

What do you intend to read at University: ______

______

Which other Yeshivot are you applying to? ______

______

IV. Academic Background

Primary School: ______

Secondary School: ______

University/Yeshiva currently attending (if applicable): ______

GCSE Results: ______

AS/A- Level Results: ______

List any extra-curricular activities and/or awards: ______

______

Your Rebbe for the past 4 years.

V. Recommendation

Please enter the information of the two individuals who will be writing your recommendations

Recommendation Form

Name of Applicant:

Last First שם בעברית

Instructions for Teacher or Rabbi

Kindly fill out this form as completely and honestly as possible. We understand that you wish to portray the applicant in the best light possible so that he will be accepted to Yeshivat Hakotel; however, unless we have an accurate composite picture of the applicant in question, we cannot truly evaluate if Yeshivat Hakotel is indeed the best place for his year of study in Israel. We are seeking high caliber young men who have a commitment to Torah, Eretz Yisrael, and Middot, and seek a year of intensive study.

All recommendation forms and information received will be kept strictly confidential, and no applicant or school will be privy to any information herein. If you are unfamiliar with any aspect of the applicant's aptitude or personality, please leave that comment blank. We thank you, in advance, for your time and effort in filling out this form and for promptly returning it to us, so that the applicant can receive an early interview. We invite you to visit Yeshivat Hakotel whenever you are in Eretz Yisrael and urge you to make a prior appointment if possible.

Submission

Please fill in this form, and email it to . Or send to our Israel address (below). The recommendation may contain additional comments in the format of a letter, but this form must be submitted with every recommendation.

Yeshivat Hakotel, POB 603, Jerusalem 9100601 ISRAEL

Name: Telephone and/or fax:

Address:

How long have you known the applicant?:

In what capacity?:

Institution and title:

Evaluation

Greatest Strength:

Greatest Weakness:

Signature: Date: