Tell us about your son.

This information helps the Hanhala understand his learning, strengths, needs, and your hopes for the coming year. Fields marked * are required.

1. Parent or Guardian

Parent/Guardian Name *Relationship to Student *Phone / WhatsApp *Email Address *

2. Bochur Information

Student’s Full Name *Date of Birth *Current School or YeshivaCurrent Grade / Shiur *Languages SpokenHebrew Reading & Comprehension LevelPlease describe his current Gemara skills and learning level.

3. Learning & Personal Profile

What are your son’s greatest strengths? *Learning, Chassidishe, emotional, social, or practical strengths.In which areas does he need the most support? *How do you currently support these qualities or challenges at home?What teaching methods or accommodations help him succeed?How would you describe him socially and within a group?

4. Health & Safety

Please provide only information relevant to safely supporting your son in yeshiva.

Medical conditions or health needsWrite “None” if applicable.Current medications and relevant instructionsWrite “None” if applicable.Allergies, dietary restrictions, or emergency informationWrite “None” if applicable.

5. Your Hopes for This Year

What would you most like to see your son achieve by the end of the yeshiva year?

Gemara, Halacha, and learning goalsChassidishe growth and yiras shamayim goalsPersonal responsibility, confidence, and social goalsMost important overall achievement *

6. Personal Reference

Please provide one responsible adult outside the immediate household who knows your son and whom the Hanhala may contact.

Reference’s Full Name *Relationship to Student *Phone Number *Email Address

7. Dormitory & Scholarship

Dormitory Needed?Scholarship Status

8. Private Photos

Photos are stored privately and used only for enrollment review. JPG, PNG, or WebP; maximum 5 MB each.

Student PhotoFamily Photo

9. Final Details

Anything else you would like the Hanhala to know?

Information is used only for enrollment review and communication with your family.