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Online Inquiry

Online Inquiry

 

Online Inquiry

The Hebrew Academy - Huntington Beach, CA
14401 Willow Lane
Huntington Beach, CA 92647

(714) 898 - 0051 - Fax: (714) 898 - 0633

Date

Applicant's Name Grade Applying For:

Birth Date:  Birth Place:

Address:

City: Zip Code:

State:

Phone Number:

E-mail Address:

FAMILY INFORMATION
Parent/Guardian Name 1:

Relationship to Applicant:
Home Address:
Telephone #:
Occupation: Business:

Parent/Guardian Name 2:

Relationship to Applicant:
Home Address:
Telephone #:
Occupation: Business:

Are parents divorced or separated? Divorced Separated
Custody: Mother Father Joint

SIBLING INFORMATION 
  


SCHOOLS APPLICANT HAS PREVIOUSLY ATTENDED 
Name                                  Telephone                            Dates Attended 



Current synagogue and/or Jewish center affiliation: 

Will the family be applying for financial aid?  Yes  No 
A completed application for admission packets is required in order to be considered for scholarship.


At the Hebrew Academy we enjoy serving a diverse population, including students with disabilities and special needs. In order to best support all of our students, it is critical that we partner with parents effectively.  Please provide all the information requested below to help us best serve you and your student.

1) Has your child ever been assessed or evaluated for any special learning needs or development delays?  If yes, please explain and attach supporting documentation.

2)  Has any professional (teacher, doctor, educational or therapeutic specialist) ever referred or recommended that you seek evaluation or assessment for your child?

3) Do you have any concerns about your child's development?


Why are you considering Hebrew Academy for your child's education?:

How did you hear about the Hebrew Academy? 

Click here for printable applications.

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