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if any of the fields do not apply to you, please fill out n/a.
For the Husband:
Name
Current occupation
Cell phone number
Currently part of Community\Rav
Email address
Actively involved in the organization of
Parent Information:
Name
Address
Cell phone number
Belongs to the community of
For the Wife:
Name
Current occupation
Cell phone number
Parent Information:
Name
Address
Cell phone number
Belongs to the community of
You are currently livingwith your family:
Address
City
State
You were referred to Lakefront Estates by:
Agent name
Others
Your currently have a family of
Kh
Please enter the name, age, grade, and current school of each of your children.
Child 1
Name
Age
Grade
Current School
Child 2
Name
Age
Grade
Current School
Child 3
Name
Age
Grade
Current School
Child 4
Name
Age
Grade
Current School
Child 5
Name
Age
Grade
Current School
What is your current business status?
--Are either of you (husband or wife) owner of a business?
If yes
With employees
Without employees
How many?
--Are you moving the place of your business?
--Are you looking for a job?
--Other
What’s your primary language?
English
Yiddish
Questions and\or comments
We are interested in joining the Lakefront Estates community when the Mosdos will be ready.
Submit
Thank you for submitting your application.
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