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Shmura Matzo
יידיש

Yiddish Farm

יידיש פארם

Course Application

Thank you for your interest in our programs. Please fill out the form below. Your attendance will be confirmed once the ALL of following steps have been taken: 1. Application received and accepted 2. Short phone interview completed 3. Deposit received. If you have any questions regarding in the application process please email [email protected].

Name*
First Last
Yiddish/Jewish name (if different from your legal name)
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Age*
Phone*
Email*
Gender*
I am interested in registering for:*
- Matzo Apprenticeship
- Speak. Read. Write. 2017
- Yiddish Farm Summer Program 2017
- Yiddish II 2017
- Other
Other program
Which living arrangement best describes your own needs?*
- Couple or family, no roomates
- Individual, no roomates
- Willing to share a room
- Commuter
- Not sure
How do you intend to pay?*
- Credit Card
- Check
Please list any allergies/dietary restrictions below:*
Please note: The Yiddish Farm kitchen is a kosher fleyshik kitchen.
Are you a smoker?*
- Yes
- No
- Occasionally
What are your goals for the program?*
Do you have a background in Yiddish studies? Please elaborate.*
Do you know the Hebrew alphabet?*
- Yes
- No
I have...
- Yiddish-speaking relatives, friends, and/or acquaintances
- Seen a Yiddish play
- Read Yiddish literature
- Heard people speaking Yiddish
- Seen a Yiddish film
Some skills that I can contribute to the program are:
- Farming, gardening or homesteading skills
- I can play an instrument
- Carpentry/construction skills
- Event planning
- Marketing
- Artistic/design skills
- Cooking/baking
- Performance skills
Are you Jewish? If yes, please describe your Jewish background. If not, please describe your religious background.*
Do you have a criminal record?*
- Yes
- No
Do you have physical, mental or emotional needs that will require adaptation in housing, program activities, communal living, and/or communication?*
- Yes
- No
If you answered yes to the above, please explain.
Do you have a history of drug or alcohol abuse?*
- Yes
- No
Please list any medications you are currently taking:
Please list any significant past illnesses, medical or mental health problems:
How did you hear about this program?*
Emergency Contact Name*
First Last
Emergency Contact Phone*
Emergency Contact Relation*
- Partner/Spouse
- Parent
- Sibling
- Friend
Is there anything else you'd like us to know?
Are you planning to do this course for college credit?*
- Yes
- No
Please Provide 2 Character References*
Please include phone number and relation. (Remember to tell your references that you are listing them here)
In the past, Yiddish Farm students have connected us with their own family foundations or with philanthropists that they know personally. Are you connected with any foundations or philanthropists with whom you would like to connect us?
Name
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About Us

The mission of Yiddish Farm is to expand the role of the Yiddish language, serve as a bridge between Yiddish speakers of various backgrounds, and to promote environmental stewardship through organic farming. Learn more »

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