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 InformationStudent InformationStudent Name*First NameLast NameStudent Cell*Area CodePhone NumberStudent E-mail*What grade are you applying for?*Sem AlephSem BeisSecular Birth Date1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - DecemberMonth12345678910111213141516171819202122232425262728293031Day2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920YearHebrew Birth DateLanguagesEnglishFrenchHebrewSpanishRussianYiddishPortugueseHow well do you know English?UnderstandUnderstand & SpeakUnderstand, Speak, Read & WriteHow well do you know Hebrew?UnderstandUnderstand & SpeakUnderstand, Speak, Read & WriteHow well do you know Russian?UnderstandUnderstand & SpeakUnderstand, Speak, Read & WriteHow well do you know Portuguese?UnderstandUnderstand & SpeakUnderstand, Speak, Read & WriteHow well do you know French?UnderstandUnderstand & SpeakUnderstand, Speak, Read & WriteHow well do you know Spanish?UnderstandUnderstand & SpeakUnderstand, Speak, Read & WriteHow well do you know Yiddish?UnderstandUnderstand & SpeakUnderstand, Speak, Read & WriteParent's InformationParents Marital Status:*MarriedDivorcedWidowedFather's InformationFather Name:*TitleFirst NameLast NameFather Cell Phone:*Area CodePhone NumberFather's E-mail:*Father Occupation:*Father Work Place:*Father Work Phone:*Area CodePhone NumberMother's InformationMother Name:*First NameLast NameMother Maiden Name:*Mother's Cell:*Area CodePhone NumberMother's E-mail:*Mother Occupation:*Mother Workplace:*Mother Work Phone:*Area CodePhone NumberPrimary Contact:*FatherMotherHome Address*Street AddressStreet Address Line 2CityState / ProvincePostal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOtherCountryEmergency ContactEmergency Contact Full Name*First NameLast NameEmergency Contact Phone Number*Area CodePhone NumberEmergency Contact Relationship to Student*Contact in MontrealMontreal Contact Full Name*First NameLast NameMontreal Contact Phone Number*Area CodePhone NumberMontreal Contact Relationship to Student*EducationSchool Name:*School Address:*Street AddressStreet Address Line 2CityState / ProvincePostal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOtherCountrySchool Phone Number:*Area CodePhone NumberPrincipal Name:*First NameLast NamePrincipal Phone:*Area CodePhone NumberHave you spent your secondary education years (high school) in more than one school?*NoYesList the other secondary school for each year:RecommendationsTwo letters of recommendation are required: • The first should be from 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 • The second should be from someone who knows you well from your extra curricular activities. Please send the reference this link: www.ChayaMushkaSeminary.com/ReferencePlease list below the people who are submitting letters of recommendation:#1 Full Name*First NameLast Name#1 Phone Number*Area CodePhone Number#1 Position*#2 Full Name*First NameLast Name#2 Phone Number*Area CodePhone Number#2 Position*InterviewFor 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*MondayTuesdayWednesdayThursdayInterview Time*MorningAfternoonEveningStudentThis section should be filled out by the student.Extra Curricular ActivitiesCamp ExperienceI spent the first month of this past summer in:Camp Name:*City:*Position:*Director Name:*First NameLast NameDirector Phone:*Area CodePhone NumberHead Counselor Name:*First NameLast NameHead Counselor Phone:*Area CodePhone NumberI spent the second month of this past summer in:Same placeYesNoCamp Name:*City:*Position:*Director Name:*First NameLast NameDirector Phone:*Area CodePhone NumberHead Counselor Name:*First NameLast NameHead Counselor Phone:*Area CodePhone NumberActivitiesPlease 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 NameLast Name#1 Reference Number:*Area CodePhone Number#2 Type of Activity:*#2 Location:*#2 Position:*#2 Reference Name:*First NameLast Name#2 Reference Phone:*Area CodePhone NumberQuestionnairePlease 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 standardsPlease 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 & GuidelinesCurriculumOur 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.ScheduleClasses are from 8:40 a.m. to 4:00 p.m. as well as various evening classes and programsShabbosGirls 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 guidelinesFollowing 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 enforcedInternet 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.TzniusPlease 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 documentsMedical examination form (download and complete by physician and parents). Can be emailed separately if appointment is after deadline. Click Here to download Medical Form9-12th 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 DocumentsIf you are receiving a error please allow cookiesApplication FeePlease submit $75 USD for registration fee:Application Fee Total$0.00Payment*Credit CardVisaMasterCardAmerican ExpressDiscoverCredit Card TypeCredit Card NumberSecurity CodeName on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - DecemberExpiration Month2022202320242025202620272028202920302031Expiration YearBilling AddressStreet AddressStreet Address Line 2CityState / ProvincePostal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOtherCountryCredit 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 והצלחהSubmitShould be Empty: This page uses TLS encryption to keep your data secure.