Welcome to the HAC Portal!

If you need assistance, please contact the Registrar, Mrs. Esther Keller at (216) 382-3300 ext.372 or email registration@hac1.org.

Hebrew Academy of Cleveland

Additional Student Application

Please note that the application cannot be saved in progress and that the following items will be required in order to submit your application:

Your child's birth certificate
Your child's report cards from the past two years
Your child's IEP (if applicable)

Applicant

School Year

Entering Grade

Gender

Male

Female

Child Adopted

Yes

First Name

English Nickname (If different)

Last Name

Legal First Name

Hebrew First Name (please write in Hebrew [alt+shift])

Hebrew Last Name (please write in Hebrew [alt+shift])

Date of Birth

Place of Birth

Last Four Digits of Social Security Number

Please upload an image of the applicant (optional)

Choose file

Ethnic Background

Click here to download release for records form Download

Please upload the completed release for records form below (optional)

Choose file

Please attach a copy of the applicant's birth certificate

Choose file

File:

Choose file

Add More

Preschool Forms

Please download and fill out the forms very clearly. All forms must be completely filled out and hand-signed. Please return to the preschool office. Download

IMPORTANT: Registration is not complete and a slot for your child cannot be reserved until the preschool office receives all the registration papers including the medical and immunization forms.

Preschool Forms

Please download and fill out the forms very clearly. All forms must be completely filled out and hand-signed. Please return to the preschool office. Download

IMPORTANT: Registration is not complete and a slot for your child cannot be reserved until the preschool office receives all the registration papers including the medical and immunization forms.

Preschool Forms

Please download and fill out the forms very clearly. All forms must be completely filled out and hand-signed. Please return to the preschool office. Download

IMPORTANT: Registration is not complete and a slot for your child cannot be reserved until the preschool office receives all the registration papers including the medical and immunization forms.

Current School

Not applicable

Support

Does your child have any learning, social physical, medical or other special needs?

Yes

Does your child currently have an IEP or receive support services (in or out of school)?

Yes

Please attach your child's IEP

Choose file

Add More

Does your child currently receive any accomodations or modifications in school?

Yes

Has your child experienced any serious illness or accident?

Yes

Is there anything else we should know about your child?

Parent Information

Father is Deceased

Mother is Deceased

Parents Divorced?

Yes

Parents Separated?

Yes

Father

Title

First Name

Hebrew First Name (please write in Hebrew [alt+shift])

Last Name

Home Address

Country

Address

City

State

Home Phone Number

Was the child's father born Jewish?

Yes

Mother

Title

Mother First

Hebrew First Name (please write in Hebrew [alt+shift])

Maiden Name

Country

Was the child's mother born Jewish?

Yes

Hebrew Academy of Cleveland

Additional Student Application

Applicant

Report Card

Preschool Forms

Preschool Forms

Preschool Forms

Current School

Support

Parent Information

Father

Father's Spouse (If applicable)

Home Address

Mother

Mother's Spouse (If applicable)

Home Address