Fess up, Satmar says, or there will be consequences.
Here's a translation made by the person who sent this to me:
Telephone.
Do you have a cellphone, Blackberry, iPhone, Android, etc. ? [ ] Yes [ ] No, if yes how many? _____
If yes, what kind? ______________
Does it have connection to the Internet? [ ] Yes [ ] No
If yes, why? _______________
Is it filtered? _______________
We will with the help of God further inquire with you separately if the phone meets the standard of approval.
Woman's Telephone.
Does your wife have a cellphone, Blackberry, iPhone, Android, etc. ? [ ] Yes [ ] No, if yes how many? _____
If yes, what kind? ______________
Does it have connection to the Internet? [ ] Yes [ ] No
If yes, why? _______________
Is it filtered? _______________
We will with the help of God further inquire with you separately if the phone meets the standard of approval.
This note can be send back to our address: 89 S. Main St. Spring Valley, NY 10977 or fax .........
Please do not take this lightly and send back in time, we should not have to take .........
With signing this note we acknowledge that we didn't hide / falsify ......
... Comes to light that we have hidden / stated false, then the board of the school has the right to do....
.... As they understand.
________________ ____________________
Father's signature Mother's signature
Update 4:15 pm CDT 6-5-2012 – Here's another, more complete scan of the questionnaire along with a translation, both sent by HeathenHassid:
OCCUPATION:
Are you Teacher/Kollel guy/Rabbi Yes/No. Where
Are you an Employer Yes/No. Work address
Are you an Employee Yes/No. Work address
Does your wife work Yes/No. Work address
Is there a computer with internet and you or your spouses’ workplace yes/no
If yes, is it filtered yes/no
We will, with Hashem's help, confirm with you directly the level of the filter.
COMPUTER:
Do you have a computer with internet at home? Yes/No
If yes, why?
Do you own a lap top (sic) Yes/No
Eye-Pod (sic) Yes/No
Other types of devices that can connect to the internet Yes/No
If yes, explain why.
TELEPHONE:
Do you own a Cellphone, Blackberry, Eye-Phone (sic) Endroit (sic) Etc. Yes/No If yes, how many.
If yes, what type.
Does it have internet access Yes/No
If yes, why?
Is it filtered Yes/No
We will, with Hashem's help, confirm with you directly the level of the filter.
WIFES’ TELEPHONE:
Does your wife have a Cell phone, Blackberry, Eye-Phone (sic) Endroit (sic) Etc. Yes/No If yes, how many.
If yes, what type.
Does it have internet access Yes/No
If yes, why?
Is it filtered Yes/No
We will, with Hashem's help, confirm with you directly the level of the filter.