Thank you for your interest in Bais Yaakov Ateres Miriam

Please submit your complete application. Additional paperwork may need to be submitted, such as school transcripts and teacher recommendations. Likewise, please schedule a time for a student/family interview with our menahel.
If you have any questions, please let us know by emailing Mrs. Rivki Horowitz at [email protected].





Mother's Information

Business Address

Father's Information

Business Address


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Please list any relatives who are currently or who have previously attended our school. If none, please leave blank.
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Please enter both maternal and paternal Grandparent(s) AND Great-Grandparent(s) ka"h, one at a time. We want to share nachas with them so please be sure to include as much information as you can. Thank you!

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Medical Information

Please upload a current immunization record as provided by the student's pediatrician.
Medical Conditions and/or Severe Allergies

Current School

Please list your current school and any schools you have attended in the last 3 years.
Current educational support received
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Other schools the student is applying to
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Please read before submitting your application.
Now that you have reached the final step, you may want to take one last opportunity to review your information prior to submission.
I verify that all the information provided is true and correct to the best of my knowledge