What is your name and contact information?

Title

Please select... Mr. Ms. Miss Mrs. Dr. Prof. Rabbi Rebbetzin

First Name

Last Name

Country

Please select... United States Israel Argentina Australia Austria Belgium Brazil Canada Chile Colombia Finland France Georgia Germany Ghana Hungary Ireland Italy Japan Mexico Netherlands New Zealand Nigeria Norway Panama Poland Portugal Romania Russia South Africa Spain Sweden Switzerland Thailand Turkey Ukraine United Kingdom Venezuela Virgin Islands, British Other

Zip/Postal Code

City

State

Email

Mobile Phone (only enter numbers and please include the country code)

e.g. In US: 13015551212, In Israel: 972585551212

What is your educational background?

High School

Yeshiva/Seminary

College/Graduate School Field of Study

👍Great! Now let's find out about your personality and preferences. This will help us select the most suitable students for you.

Which of these adjectives would a friend use when describing you? (Select all that apply.)

Outgoing	Funny	Deep	Practical
Spontaneous	Organized	Reliable	Reserved
Calm	Energetic	Articulate	Skeptical
Warm	Intellectual	Fun-loving	Imaginative
Emotional	Spiritual	Optimistic	Inquisitive
Philosophical	Worldly	Driven	Communicative
Sophisticated	Unconventional

Which do you feel most closely describes your Jewish identity?

Please select... Orthodox Chabad Chassidish Heimish Yeshivish/Chareidi Just Jewish Traditional

Which of these topics are you able to learn with a partner? (Select all that apply.)

Basics of Judaism	Prayer (Tefilla)
Personal Growth / Character Development	Dating / Relationships
Marriage	Parenting
Laws of Daily Living (Halacha)	Spirituality
Meditation/ Mindfulness	Women and Judaism
Five Books of Moses (Chumash)	Prophets (Navi)
Weekly Torah Portion (Parsha)	Shabbat & Holidays
Philosophy	Jewish History
Talmud (Gemara) / "The Daf"	Hebrew reading skills

Which of these people would you be comfortable studying with? (Select all that apply.)

Someone considerably younger than me / a teenagerSomeone older than meSomeone who is elderlySomeone who is close to my own ageSomeone from a non-observant backgroundSomeone from an observant background

Which type(s) of students are you willing to learn with? (Select all that apply)

A student with a developmental/cognitive disability

A student with a mental health diagnosisA student with a medical diagnosisA student who is physically handicapped - vision or hearing impairmentA homebound seniorA student with learning disabilities

Please indicate which of the following you are able to use for your learning sessions (choose all that apply):

Phone: calls within my country	Phone: Israel to US / US to Israel
Phone: all international calls	Zoom
Whatsapp voice or video call	Google hangouts voice or video call
Facetime

If a student was local to you, would you be open to learning in-person?

Please select... Yes No, I would prefer not

When are you available to study with your partner? (Time zone local to the city/state you listed above.)

	6am	7am	8am	9am	10am	11am	12pm	1pm	2pm	3pm	4pm	5pm	6pm	7pm	8pm	9pm	10pm	11pm
Sunday
Monday
Tuesday
Wenesday
Thursday

	6am	7am	8am	9am	10am	11am	12pm
Friday

	6pm	7pm	8pm	9pm	10pm	11pm
Saturday