Chevrusa Form

First Name:
Last Name:
Address:
Home Phone:
Cell Phone:
Days and times you are available to learn:
Prefer to learn:	in-home    out-of-home
Please list top 3 interests in learning (e.g. halacha, haspkafa, chumash, hebrew, etc.):	1. 2. 3.
Prefer to learn in:	English    Hebrew    both
Describe your textual skills (reading Hebrew, comprehension, Rashi skills, other commentaries):
Please describe your ideal chevrusa relationship (prefer to tutor, be tutee or have comparable study partner, duration of learning, etc):