Madricha Application

Apply to be a Madricha at any of Bais Chana's programs here.

First Name

Middle Name

Last Name

Nickname (or first name again if it's the same)

Date of Birth

Email Address

Cell Phone

Home Phone

Street

City

U.S. State

Postal Code

Country

State/Province if outside of the United States

Hebrew Name

Mother's Hebrew Name

Which program are you signing up for?

Which seminary did you attend and in what city? (eg., Bais Chana, Tsfat)

Work Experience (include volunteer and paid positions)

Work(ed) For:

Approx Start Date

Approx End Date

Responsibilities

Work(ed) For: (employer 2)

Approx Start Date

Approx End Date

Responsibilities

Work(ed) For: (employer 3)

Approx Start Date

Approx End Date

Responsibilities

References - List at least two

Ref 1 First Name

Ref 1 Last Name

Ref 1 Number

Ref 1 Email

Ref 2 First Name

Ref 2 Last Name

Ref 2 Number

Ref 2 Email

Ref 3 First Name

Ref 3 Last Name

Ref 3 Number

Ref 3 Email

Ref 4 First Name

Ref 4 Last Name

Ref 4 Number

Ref 4 Email

Is there anything else you’d like us to know that would make you a good fit for the position?

Who told you about Bais Chana?

Are any of your friends applying?

If so, who?