Complete all information, print or save as a PDF, include a recent picture of yourself, sign and return to: Fees:  Registration: $250.00  Tuition: $6000.00	Rabbinical Seminary Int'l Office Of Registration 12 West 96 Street, 6A New York, NY 10025
NOTE: The Rabbinical Seminary International is committed to paths of traditional Judaism and thus does not admit “Messianic Jews” or “Jews for Jesus”.

Name

Address

City

State/province

Postal code

Home phone

Work phone

Email address

Occupation

I have attached, or will forward, letters of recommendation from the following people:

Reference 1

Reference 2

Reference 3

Please enroll me as a student in the Modern Rabbi Program:

Date

A summary of your educational background and work history, or a résumé:

A brief statement of your personal spiritual background, and reasons for wanting to participate in the seminary:

If you are enclosing a tuition payment in addition to the registration fee, please indicate the amount: