Mizrachi OU-JLIC Student Information Name* First Last Which Mizrachi OU-JLIC Campus?* Herzliya Givat Shmuel Expected Graduation Year:* Email* Phone* WhatsApp (if different) Home Address* Street Address City ZIP / Postal Code Father/Guardian Name* First Last Father/Guardian Email* Father/Guardian Phone* Mother/Guardian Name* First Last Mother/Guardian Email* Mother/Guardian Phone*