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

*By completing this application, upon acceptance, I commit to the registration fee of $160

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

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

Please list the schools your child attended in the past two years.

Current School

Current Grade

In what grade did your child start attending his/her current school?

If applicable, click Add More below to enter previous school information below.

Add More

Support

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

No

Please explain.

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

No

What services is he/she currently receiving? For how long has your child received these services? Example: OT, PT, Speech, Counseling, Special Educational Services, Private Reading and/or Tutoring

Please attach your child's IEP

Choose file

Add More

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

No

Please Explain

Has your child experienced any serious illness or accident?
Yes

No

Please provide the dates and nature of illness or accident.

Is there anything else we should know about your child?

Parent Information

Father is Deceased

Mother is Deceased

Parents Divorced?
Yes

No

Parents Separated?
Yes

No

Custodian:

Please Explain:

Father

Title

First Name

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

Last Name

Father's Spouse (If applicable)

Spouse's Title

Spouse's First Name

Home Address

Country

Address

City

State

Zip

Home Phone Number

Cell Number

Email

Was the child's father born Jewish?
Yes

No

Did the child's father convert?
Yes

No

Conversion Date

Conversion Rabbi

Conversion Document

Choose file

Mother

Title

Mother First

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

Maiden Name

Mother's Spouse (If applicable)

Spouse's Title

Spouse's First Name

Last Name

Home Address

Country

Address

City

State

Zip

Home Phone Number

Cell Number

Email

Was the child's mother born Jewish?
Yes

No

Did the child's mother convert?
Yes

No

Conversion Date

Conversion Rabbi

Conversion Document

Choose file

New students to HAC will need an in person meeting and academic assessment/screener before being placed in a classroom. If a student is considered eligible for extra support and intervention, the process may eventually lead to a determination of special education. This process can take up to 1 year, sometimes more and sometimes less. If a special education determination is recommended, the school will assist in the referral process and, if determined eligible for special education, the student will need to forgo EdChoice scholarship and apply for the Jon Peterson Special Needs (JPSN) scholarship.

We would like new families that may have students who require resource room, intervention, and extra supports to be aware of the scholarship details and programming at HAC. While we do not guarantee servicing new students with intervention upon the immediate start of their schooling at Hebrew Academy, we do need families to understand and accept the school’s expectations. Please call the office at 216-321-5838 on South Taylor for Girls Grades 1-6, 216-382-3300 at Oakwood for Kindergarteners and Boys Grades 1-8, and 216-691-5838 for Girls Grades 7-12 to schedule an interview.

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