Bnos Chana/Halichos Online Application

Admissions

Apply Online - step 1: application

Please complete the form and then click Submit below. Once the form is submitted, you will be redirected to a page where you can pay the $100 application fee securely through Paypal.

* = Required Fields

Please select the program you are applying to:*
Bnos Chana Halichos Please select a program.
If you are applying to Halichos, please specify the course option you are interested in:
Graphic & Web Design Interior Design Personal & Group Health Training Cosmetology
APPLICANT INFORMATION:
First Name*	Please tell us your first name.
Middle Name
Last Name*	Please tell us your last name.
Hebrew Name*	Please tell us your hebrew name.
Street Address*	Please tell us your address.

City*	Please tell us your city.
State/Province
Zip Code
Country*	Please select a country.
Phone Number*	We need your phone number to contact you.
Fax Number
Email*	Please tell us your email address.Invalid format.
Current School*	Please tell us the name of your school.
Graduation Date*	Please tell us your graduation date.
High School GPA*	What is your GPA?
Place of Birth
Date of Birth* (dd/mm/yyyy)	Please tell us when you were born.Invalid format.
Hebrew Date of Birth*	Please tell us your hebrew birthday.
Passport Number*	A value is required.Invalid format.
Country Issuing Passport*	Please tell us what country issued your passport.
Social Security No./I.D.

FATHER'S INFORMATION:
First Name*	What is your father's first name?
Last Name*	What is your father's last name?
Occupation*	A value is required.
Business Phone
Fax
Email

MOTHER'S INFORMATION:
First Name*	What is your mother's first name?
Last Name*	What is your mother's last name?
Occupation*	A value is required.
Business Phone
Fax
Email
Parent's Marital Status

SIBLINGS INFORMATION:
Names and Ages

RELATIVES OR CLOSE FRIENDS LIVING IN ISRAEL (IF ANY):
Name
Address
Phone
Relationship

Name
Address
Phone
Relationship

Name
Address
Phone
Relationship

SCHOOLS ATTENDED (STARTING FROM ELEMENTARY):
Name of School*	A value is required.
Location*	A value is required.
Years Attended*	A value is required.

Name of School
Location
Years Attended

Name of School
Location
Years Attended

Describe your extracurricular activities in and out of school:
What did you do the last 3 summers?
Work Experience:

Please list the people who will be writing letters of recommendation for you:
Name*	A value is required.
Position*	A value is required.
Phone

Name*	A value is required.
Position*	A value is required.
Phone

Are you presently taking any medication?*	Yes No Please make a selection.
If yes, please explain:
Have you ever consulted or been treated by a psychologist, psychiatrist, social worker or counselor?*	Yes No Please make a selection.
If yes, please explain:
Do you suffer from any allergies?*	Yes No Please make a selection.
If yes, please explain:

By checking this box, I am certifying that all information in this application is complete and accurate to the best of my knowledge. I am also agreeing that if I am accepted and decide to come to Bnos Chana/ Halichos, I agree to comply with all rules, regulations and standards set by the school. Please make a selection.


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Bnos Chana Seminary - Halichos Seminary

Admissions

Apply Online - step 1: application