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Application for Talmud Seder
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Applicant Information
First Name
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Last Name
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Permanent Home Address
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Address 2
City
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State
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Zip Code
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Country
Phone
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Email address:
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Date of Birth
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Are you a US citizen?
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Yes
No
If no, what is your country of citizenship?
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How long have you lived in the US?
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Are you a Permanent Resident?
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Yes
No
If no, please describe status
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Native language if other than English
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How did you hear about Drisha?
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