Admissions

Apply — 2026-2027

Application

Please note: We are currently at full capacity. All new applications will be placed on our waiting list.

Student Information

Legal Name*

Hebrew Name*

Student Email

Student Cell*

Address*

Age*

Birth Date*

Status in the U.S.*

Medical Conditions (Please List All That Apply)

Parent Information

Mother's Information

Mother's Name*

Mother's Email*

Primary email

Mother's Cell*

Home Address*

If different from the student address above.

Father's Information

Father's Name*

Father's Email*

Father's Cell*

Marital Status*

Education History

Please include all schools attended since age 13.

School Attended Two Years Ago

School Name*

City*

Dates Attended*

Grade(s)*

Name of Principal*

Principal's Contact Info*

School Attended Last Year

School Name*

City*

Dates Attended*

Grade(s)*

Name of Principal*

Principal's Contact Info*

School Attended This Year

School Name*

City*

Dates Attended*

Grade(s)*

Name of Principal*

Principal's Contact Info*

Does the student have a High School diploma?*

Yes

Where were you this past summer?*

Where were you the summer before that?*

Applicant Questionnaire

This section is to be completed by the applicant himself.

Applicant Name*

1. Why would you like to join our program?*

2. What do you hope to achieve academically?*

3. What do you hope to achieve religiously?*

4. How did you hear about our program?*

5. Where do you see yourself three years from now?*

6. What grade level do you think you are at academically? (a. Judaic studies b. Secular studies)*

7. What is your strongest subject? (a. Judaic studies b. Secular studies)*

8. What is your weakest subject? (a. Judaic studies b. Secular studies)*

9. What do you like to do in your free time, and what interests would you like to pursue?*

Signature & Application Fee

Parent / Guardian Signature*

I confirm that the above information is accurate and I authorize the $150 application fee.

Application Fee

Total Amount:$150