Application – BTM

Please fill out the form below or use the PDF version here.

Part I - Parental Information



Part II - Student Information

Student Resides With Both ParentsMotherFatherGuardian (Send Info)

Part III - Educational Information

Part IV - Secular Studies Information

Student Has High School DiplomaGEDSome CollegeNone

Part V - Personal Information

Additional Reference

PART VI – Student Conduct – To Be Completed By Parent

Please describe your son’s attitude in the following areas: Scale 1 through 5; 1 being the lowest and 5 being the highest

Work Habits


Ethics and Honesty


Tolerance Threshold


Social Interactions

Yiras Shamayim


Respect to Authority


Respect of Halacha


Appropriate Language


PART VII – Statement of Interest

PART VIII – Application Processing

I will pay the $75 fee CheckPayPal/Card

Please note that you must tick the following boxes in order to submit your application

Student: I have completed the above application to the best of my knowledge

Parent: I have completed the above application to the best of my knowledge

If you selected PayPal/Card please click here to process payment.

If you selected check. Please make it payable to Bais Toras Menachem and mail it to 341 North Mansfield Ave, Los Angeles, CA 90036.

Your application will not be processed until your check is received.