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 No

First Name

English Nickname (If different)

Last Name

Legal First Name

Hebrew First Name (Written in Hebrew)

Hebrew Last Name (Written in Hebrew)

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. (Illegible forms will not be accepted). You can upload the completed forms back onto the online application now or mail them back to the preschool office at 1860 S. Taylor Road Cleveland Heights, OH 44118 Download

Upload your completed forms below

Choose file

Preschool Forms

Upload your completed forms below

Choose file

Preschool Forms

Upload your completed forms below

Choose file

Current School

Not applicable

Support

Does your child have any learning, social physical, medical or other special needs? Yes No

Does your child currently have an IEP or receive support services (in or out of school)? Yes No

Does your child currently receive any accomodations or modifications in school? Yes No

Has your child experienced any serious illness or accident Yes No

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

Father

Title

First Name

Hebrew First Name

Last Name

Home Address

Address

City

State

Zip

Country

Home Phone Number

Was the child's father born Jewish? Yes No

Mother

Title

Mother First

Maiden Name

Was the child's mother born Jewish? Yes No

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