Apply Online


Please click here to submit a $75 application fee.

STUDENT INFORMATION

(All fields are required. Enter N/A if you have no answer)

Student's Name (required)

Student's Hebrew Name (if known)

Home Address / City, State Zip

Email

Phone

Date of Birth

Place of Birth

Gender
MaleFemale

Grade in Fall of 2018 (BK, K, 1st, 2nd, etc.)

Ethnicity


SCHOOL EXPERIENCE

(All fields are required. Enter N/A if you have no answer)

Current School

Address / City, State Zip

School Phone

Grades in Current School

Type of Current School
PublicPrivate

Previous School

Address / City, State Zip

School Phone

Grades in Previous School

Type of Previous School
PublicPrivate


PARENT INFORMATION

(All fields are required. Enter N/A if you have no answer)

PARENT / GUARDIAN 1 NAME

Relationship to Student

Home Address / City, State Zip

Home Phone

Cell Phone

Occupation

Employer

Work Address / City, State Zip

Work Phone

PARENT / GUARDIAN 2 NAME

Relationship to Student

Home Address / City, State Zip

Home Phone

Cell Phone

Occupation

Employer

Work Address / City, State Zip

Work Phone

Parents are (please check)
MarriedSingleWidowedDomestic PartnersSeparatedDivorcedRemarried

Please list all siblings (name, age)


QUESTION

(All fields are required. Enter N/A if you have no answer)

How did you learn about Oakland Hebrew Day School?

Why do you feel that Oakland Hebrew School would be a desirable environment for your child and family?

Are there any reports, assessments, testing or documentation regarding your child that the school should know about? If yes, please explain:

Does your child have any special needs that the school should know about? If yes, please explain:

What other languages, besides English, are spoken at home?

Please tell us more about your child's strengths and weaknesses, overall school experience, and ideal learning environment.

SIGNATURES

Application will only be processed if all legal parents/guardians have signed below:

Parent / Guardian 1 Signature

Date

Parent / Guardian 2 Signature

Date


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