Apply – Yeshiva Ohr Shalom

Application Form

Fill out the form carefully to apply to Yeshiva Ohr Shalom.

* After filling out the form, you will be redirected to our payment portal for the $200 application fee.

Your Email

Your Phone Number

Student First Name

Student Last Name

Student Date of Birth

Student Phone Number

Student Email

Student Street Address

City

State / Province

Postal / ZIP Code

Current School

High School Completion Status

Fathers Name

Title

Fathers Phone Number

Fathers Email

Mothers Name

Mothers Phone Number

Mothers Email

Fathers Occupation

Mothers Occupation

Parents Marital Status

Shul Affiliated With

Name of Rav

What are your goals for your child for next year? Why do you think this Yeshiva will be a good fit?

Is there anything we should be aware of about you child or your family situation?