Application - ChayaMushkaSeminary.com

Dear Parents,

We are grateful that you are considering Chaya Mushka Seminary as an option for your daughters’ education for the upcoming school year.

At Chaya Mushka Seminary, we believe that it is important that all incoming students and their families understand what our goals and standards are prior to registration.

As a seminary, our program focuses on in depth learning of Torah and Chassidus along with other important classes and extracurricular activities necessary to instill our students with the values necessary to live in the contemporary world as a proud Chassidishe woman. A warm atmosphere is created based on common respect for Torah and Chassidus and as such it is obvious that all of those in attendance will commit to respecting Halacha and the learning environment.

We look forward to your registration,

-REGISTRATION DEADLINE: JANUARY 12, 2022 - YUD SHVAT, 5782-
Family Information
Student Information
Student Name*

First Name Last Name
Student Cell*

Area Code Phone Number
Student E-mail*
What grade are you applying for?*

Sem Aleph Sem Beis
Secular Birth Date

Month Day Year
Hebrew Birth Date
Languages

English French Hebrew Spanish Russian Yiddish Portuguese
How well do you know English?

Understand Understand & Speak Understand, Speak, Read & Write
How well do you know Hebrew?

Understand Understand & Speak Understand, Speak, Read & Write
How well do you know Russian?

Understand Understand & Speak Understand, Speak, Read & Write
How well do you know Portuguese?

Understand Understand & Speak Understand, Speak, Read & Write
How well do you know French?

Understand Understand & Speak Understand, Speak, Read & Write
How well do you know Spanish?

Understand Understand & Speak Understand, Speak, Read & Write
How well do you know Yiddish?

Understand Understand & Speak Understand, Speak, Read & Write
Parent's Information
Parents Marital Status:*
Father's Information
Father Name:*

Title First Name Last Name
Father Cell Phone:*

Area Code Phone Number
Father's E-mail:*
Father Occupation:*
Father Work Place:*
Father Work Phone:*

Area Code Phone Number
Mother's Information
Mother Name:*

First Name Last Name
Mother Maiden Name:*
Mother's Cell:*

Area Code Phone Number
Mother's E-mail:*
Mother Occupation:*
Mother Workplace:*
Mother Work Phone:*

Area Code Phone Number
Primary Contact:*

Father Mother

Home Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Emergency Contact
Emergency Contact Full Name*

First Name Last Name
Emergency Contact Phone Number*

Area Code Phone Number
Emergency Contact Relationship to Student*
Contact in Montreal
Montreal Contact Full Name

First Name Last Name
Montreal Contact Phone Number

Area Code Phone Number
Montreal Contact Relationship to Student
Education
School Name:*

School Address:*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

School Phone Number:*

Area Code Phone Number
Principal Name:*

First Name Last Name
Principal Phone:*

Area Code Phone Number
Have you spent your secondary education years (high school) in more than one school?*

No Yes
List the other secondary school for each year:
Recommendations
References required:

• Your Machaneches who is involved in your education that has been in contact with you recently. Please send your Machaneches this link: www.ChayaMushkaSeminary.com/Machaneches

• Two references from people who know you well from your extra curricular activities.
Please send the references this link: www.ChayaMushkaSeminary.com/Reference

Please list below the references who are submitting letters of recommendation:
#1 Full Name*

First Name Last Name
#1 Phone Number*

Area Code Phone Number
#1 Position*
#2 Full Name*

First Name Last Name
#2 Phone Number*

Area Code Phone Number
#2 Position*
Interview
For Montreal Students, interviews will take place in town. All other the interviews will be arranged once the application is processed.

Please choose which day and what time you will be available.
Interview Day*
Interview Time*
Student

This section should be filled out by the student.
Extra Curricular Activities

Camp Experience

I spent the first month of this past summer in:
Camp Name:*
City:*
Position:*
Director Name:*

First Name Last Name
Director Phone:*

Area Code Phone Number
Head Counselor Name:*

First Name Last Name
Head Counselor Phone:*

Area Code Phone Number
I spent the second month of this past summer in:
Same place

Yes No
Camp Name:*
City:*
Position:*
Director Name:*

First Name Last Name
Director Phone:*

Area Code Phone Number
Head Counselor Name:*

First Name Last Name
Head Counselor Phone:*

Area Code Phone Number
Activities

Please fill in the following chart regarding extra curricular activities you have been involved in, such as: Children programs, volunteer work, community projects etc.
#1 Type of Activity:*
#1 Location:*
#1 Position:*
#1 Reference Name:*

First Name Last Name
#1 Reference Number:*

Area Code Phone Number
#2 Type of Activity:*
#2 Location:*
#2 Position:*
#2 Reference Name:*

First Name Last Name
#2 Reference Phone:*

Area Code Phone Number
Questionnaire
Please explain why you would like to spend the next year at Chaya Mushka Seminary?*
Describe the friends/people you feel close with:*
What, in your opinion, is the definition of a chassidishe girl in todays day and age?*

Give examples of standards
Please describe some of your interests, talents, hobbies or pastimes:*
What type of extra curricular programs do you enjoy?*
Which programs have you organized or led in your school or community?*
Rules & Guidelines
Curriculum

Our program includes:
- Nigle: Chumash, Nach, selected topics from the Talmud, Halachah with emphasis on areas of halachic concern for women .
- Chassidus: including Tanya, Sichos, selected Mamorim, Hashkafa (i.e. Da Ma Lehashiv & 13 Princples) And Inyonei Geula and Moshiach.
- Early Childhood Education Methodology, and Special Ed.
- We also offer a variety of other classes such as Finance, Computers and Communication.
Schedule

Classes are from 8:40 a.m. to 4:00 p.m. as well as various evening classes and programs

Shabbos

Girls spend Shabbosim in the dorm and are hosted by families in the community.
We also have Shabbatons which are hosted in town and sometimes out of town. i.e. Shluchim or Trips.

General guidelines

Following you will find some of the main rules and guidelines of our seminary.

These guidelines stem from our seminaries Hashkafa and standards and will be strictly enforced
- Internet cafes are not allowed under any circumstances the seminary will provide students with computer and Internet access.
- Curfew is at 10:30PM sharp and strictly enforced, students must be in a dorm by that time.
- All students devices i.e. laptops, ipods, ipads and cellphones will be checked at the start of the year and periodically.
- All seminary rules apply during vacation time as well.
Tznius

Please note: Tznius guidelines apply at all times throughout the year, including "off" shabbosim and vacations. Students must be completely Tznius at all times in the dorms.

Tznius guidelines:
- Your wardrobe should not include any clothes that are tightly fitting or made of clinging or transparent material. Blouses and tops should not have designs or lettering that reflects pop culture. Jean material is not acceptable.
- Your blouses should be amply sleeved so as to cover your elbows at all times.
- The neckline should be closed from all sides. button-down shirts should enable proper coverage.
- Your skirt should cover your knees, standing and sitting. Slits on any side of the dress or skirt, are not allowed.
- Your legs must covered at all times. Fish net and loud coloured tights or stockings are unacceptable.
- You must be completely tzniusdig in your apartment at all times.
The Seminary Hanhalah, teachers, and staff are always here for you, and happy to talk about any concerns or difficulties you may encounter with these rules. We want your year to be one in which you are able to grow and advance, and this can only happen in an atmosphere of mutual caring, trust, respect, and a personal sense of responsibility. Please do not hesitate to approach us if needed, to discuss your options and possible alternatives, if you feel these guidelines present a challenge.
*

I have read the Contract, and accept all rules and guidelines therein.
*

I intend to attend every class. (Including NDF courses for those registered.) I understand that my presence at all extra-curricular functions, including farbrengens, workshops, outings, trips, games, in-shabbos and shabbatons, will help create a vibrant and inspiring environment for every student, including myself. I intend to participate in this spirit.
*

I understand that my success in Seminary is dependent on my full adherence to the rules and guidelines outlined in this contract, in and out of seminary. I realize that breaching BCMS rules will carry serious consequences, and may result in dismissal from Seminary.
Parents Signature:*
Students Signature:*
Please upload all applicable documents
- Medical examination form (download and complete by physician and parents). Can be emailed separately if appointment is after deadline. Click Here to download Medical Form
- 9-12th Grade High school transcripts
- 10-11th Grade Report Cards
- 2 recent color passport size photos (please write your name and school clearly)
Click "Browse Files" to upload all applicable Documents

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Application Fee

Please submit $75 USD for registration fee:
Application Fee Total

$0.00

Payment*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Credit Card CVV#
Please check all the information you entered to validate accuracy. You will be receiving a confirmation email that your application was received.

Looking forward to a שנת ברכה והצלחה
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Family Information

Parent's Information

Emergency Contact

Contact in Montreal

Education

Recommendations

Interview

Student

Extra Curricular Activities

Camp Experience

Activities

Please fill in the following chart regarding extra curricular activities you have been involved in, such as: Children programs, volunteer work, community projects etc.

Questionnaire

Rules & Guidelines

Click "Browse Files" to upload all applicable Documents

Application Fee