Participant Questionnaire

This form is to be completed by the participant himself
Name*

First Name Last Name
1. Why would you like to join our program?*
2. What do you hope to achieve academically?*
3. What do you hope to achieve religiously?*
4. How did you hear about our program?*
5. Where do you see yourself in three years from now?*
6. What grade level do you think you are at academically?* a. In Judaic studies? b. In secular studies?
7. What do you think is your strongest subject?* a. In Judaic studies? b. In secular studies?
8. What do you think is your weakest subject?* a. In Judaic studies? b. In secular studies?
9. What do you like to do in your free time and what interests would you like to pursue?*
Should be Empty:

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This form is to be completed by the participant himself