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Sibling Application
Shaareh Torah Admin
2021-12-11T21:17:24-05:00
New Sibling Application
"
*
" indicates required fields
Child's First Name
*
Child's Hebrew Name
*
Child's Last Name
*
Child's Date of Birth
*
MM slash DD slash YYYY
Child's Hebrew Date of Birth
*
Please write it out in English
Division You are Applying to
*
Toddler Twos (Ave P Building)
Preschool
Boys Elementary
Girls Elementary
Boys High School
Girls High School
Preschool Grade You are Applying to
*
Lower nursery Threes
Upper nursery Fours
Pre 1A Fives
Elementary school Grade you are Applying to
*
Pre1a
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Other
High School Grade You are Applying to
*
9th Grade
10th Grade
11th Grade
12th Grade
Home Phone Number
*
Address
*
City
*
State
*
Zip
*
Upload Photo
*
Accepted file types: jpg, png, jpeg, Max. file size: 3 MB.
For Preschool applicants only
Please have a
teacher recommendation form
filled out and upload here/ bring to your interview
Accepted file types: jpg, pdf, png, Max. file size: 3 MB.
Father's Information
Father's Name
*
Father's Cell
*
Father's Email
*
Marital Status
*
Married
Divorced
Separated
Mother's Information
Mother's Name
*
Mother's Cell
*
Mother's Email
*
Siblings
Please list all applicant's siblings
Name
*
Date of Birth
MM slash DD slash YYYY
School
Name
*
Date of Birth
MM slash DD slash YYYY
School
Name
Date of Birth
MM slash DD slash YYYY
School
Name
Date of Birth
MM slash DD slash YYYY
School
Name
Date of Birth
MM slash DD slash YYYY
School
Applicant's information
Does your child have any serious illness?
yes
no
Does your child have a physical handicap?
yes
no
Does your child have any allergies?
yes
no
If yes please specify
How severe?
Please list two references
Reference 1 Name
*
Reference 1 Phone
*
Reference 2 Name
*
Reference 2 Phone
*
Congregation where parents are members:
*
Family Rabbi
*
Family Rabbi's Phone
*
Is your child currently receiving any special services?
None
Speech
O/T
PT
P3
Counseling
SEIT
Other
If yes, please check the appropriate box, if not, click None
If other, please specify
Name of Agency
Where do you spend summer?
*
Which summer camps has your child attended?
*
If your child is presently in school, please fill out the following:
School presently attending
*
If not applicable, please write NA
Teacher's Name
Teacher's Phone
Director's Name
Director's Phone
If your child has attended more than one school, list them below:
Click the + symbol for additional rows.
Name of school 1
Dates of attendance school 1
Add
Remove
Has your child ever been dismissed from another school?
yes
no
For disciplinary reasons?
yes
no
For poor academics?
yes
no
other reason
Consent
I hereby certify that the information given in this application is complete and true.
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