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Home
Our Staff
FAQ
Timetable
Programs
Our Courses
>
Current Courses
Seminary Experience
Themed Programs
>
Past Programs
Shanna Beis Program
Mothers Enrichment Program
Rosh Chodesh Women’s Circle
Jewish Living
What's On
Contact
Shanna Beis Program
Apply
Application form
medical form
MerkosWomen Application Form
Thanks for your expression in participating in a Merkos Course please fill in the details below so that we can process your enrollment
*
Indicates required field
Name
*
First
Last
Personal Information
Email
*
Phone Number
*
D.O.B
*
References
Two referees required, one should be a Rabbi
Country of Birth
*
Name of Reference 1
*
Please supply the name and number of two references
Contact Details (email or phone) R1
*
Position R1
*
Name of Refrence 2
*
Contact Details (email or phone) R2
*
Position R2
*
How long have they known you R1
*
Less than 1 month
1-6 months
1-3 years
Over 3 years
Never
How long have they known you? R2
*
Less than 1 month
1-6 months
1-3 years
Over 3 years
Never
Courses
Which course would you like to take
*
Summer Learning Vacation
Full Seminary Experience
Tanya - A Tale of Two Souls
Halacha - Jewish law
The Jewish Woman in a Contemporary World
Pirkei Avos - Living an Ethical Life
Rabbi I Have a Question
Creating a Dynamic Relationship
The Jewish Home - Bayis Yehudi
A Mystical Journey Through the Weekly Portion
The Origins of the Chassidic Movement
Gemara
Mothers Enrichment Course
Other
In a few sentences, please tell us what you would like to gain from attending MerkosWomen in Melbourne
*
Do you require accommodation in our dormitory
*
Yes
No
Maybe
How did you hear about the MerkosWomen Program?
*
Internet
Word of Mouth
Magazine/Paper
Rabbi
Other
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