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Yeshivas Ohr Reuven
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--Application Type--
Grades 1-8 Application
Kdg Early Notification Form
Mesivta Application
Mesivta Report Cards Attachment
Preschool Application
Preschool 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:
A Family Picture
Your son's Birth Certificate
Your son's most recent immunization records.
Yeshiva Ketana Ohr Reuven's Policy is that all devices with internet access, including phones, must be filtered. If any of your devices are not filtered, please install a filter before submitting your application.
Early Intervention Service Reports (If Applicable)
$100 Application Fee (will be required on submission). Fee must be paid via credit card only, no cash or checks please.
*
starred fields are required
Student
Last Name*
First (and Middle)*
Hebrew Name (please write in Hebrew [alt+shift])
Name Called
Please review the chart to ensure that you are applying for the appropriate grade/year:
Year
Grade
Deadlines/DOB
2021-2022
Kindergarten
December 1, 2016 – November 30, 2017
2021-2022
Pre-1A
December 1, 2015 – November 30, 2016
Admission for School Year*
--Select--
YK 2021-2022
To Grade*
--Select--
Kindergarten
Pre-1A
Date of Birth*
Parents
Marital Status*
--Select--
Divorced
Married
Separated
Widow
Widower
Single
Engaged
Please attach your divorce agreement here as it pertains to custody and legal/educational decisions.
Choose file
Name of Rav*
Telephone #*
Shul with which parents are affiliated*
Father
Father's Title*
--Select--
Mr.
Dr.
Rabbi
Father's First Name*
Father's Occupation (Position and Business Name)*
Father's Cell Number*
Father's Work Number
Father's Email*
Spouse's Title
Spouse's First Name
Mother
Mother's Last Name
Mother's Title*
--Select--
Mrs.
Ms.
Dr.
Mother's First Name*
Mother's Occupation (Position and Business Name)*
Mother's Cell number*
Mother's Work Number
Mother's Email*
Mother's Maiden Name*
Spouse's Title
Spouse's First Name
Contact Information
Father
Home Phone Number
Home Address*
Apt
City*
State*
Zip*
Mother
Home Phone Number
Home Address
Apt
City
State
Zip
Grandparents
Relationship
--Select--
Paternal Grandparents
Maternal Grandparents
Does student have grandparents?*
--Select--
Yes
No
Last Name*
Deceased
Grandfather's Title
Grandfather's First Name
Deceased
Grandmother's Title
Grandmother's First Name
Home Phone Number*
Address*
Apt
City*
State*
Zip*
Email
Relationship
--Select--
Paternal Grandparents
Maternal Grandparents
Does student have grandparents?*
--Select--
Yes
No
Last Name*
Deceased
Grandfather's Title
Grandfather's First Name
Deceased
Grandmother's Title
Grandmother's First Name
Home Phone Number*
Address*
Apt
City*
State*
Zip*
Email
Add More
Siblings
Name*
School Attending*
DOB*
Gender*
--Select--
Male
Female
Add More
School
What 3 year old playgroup is your son attending? *
Teacher*
Phone #*
School Year
Technology
Yeshiva Ketana Ohr Reuven's Policy is that all devices with internet access must be filtered.
Do you have Television?*
--Select--
Yes
No
Do children have access?*
--Select--
Yes
No
Do you have internet access in your home?*
--Select--
Yes
No
Please name your filter*
Applications cannot be processed if internet devices are not filtered. Please install a filter and contact us with your filter name for your application to be processed.
Is there internet access on the father's phone?*
--Select--
Yes
No
Please name your filter*
Applications cannot be processed if internet devices are not filtered. Please install a filter and contact us with your filter name for your application to be processed.
Is there internet access on the mother's phone?*
--Select--
Yes
No
Please name your filter*
Applications cannot be processed if internet devices are not filtered. Please install a filter and contact us with your filter name for your application to be processed.
Yeshiva Affiliation
Are you already affiliated with Yeshiva?*
--Select--
Yes
No
In what capacity?
Please list Yeshiva Ketana Ohr Reuven/YOR families that you know
Current Yeshiva Ketana Parent
Former Yeshiva Ketana (YDN) Parent
Alumnus of Yeshiva Ketana (YDN)
Current Kollel Member
Current Mesivta or Beis Medrash Parent
Alumnus of Mesivta, Beis Medrash or Kollel
Other
Other Affiliation
Medical Alerts
If your son has any allergies, please describe the allergy and how it is treated or the medication taken
Does your son take any medications regularly?*
--Select--
Yes
No
If yes, please describe
Development
Is your son toilet trained?*
--Select--
Yes
No
Did your son receive Early Intervention Services?*
--Select--
Yes
No
Please list each service, the name and contact information for the agency through which the service was received.*
Please attach copies of IEP, and all evaluation reports (not summary forms.)*
Choose file
Choose file
Did your son ever receive an evaluation for any special services (including: Education, Speech Language, OT, PT, etc)?*
--Select--
Yes
No
Formal Evaluation
Choose file
Does he receive specialized attention in a class setting?*
--Select--
Yes
No
Please Describe*
Do you have any concerns about your child in the following areas?
Physical (Gross/Fine Motor)*
--Select--
Yes
No
Please Explain*
Social/Emotional*
--Select--
Yes
No
Please Explain*
Academic*
--Select--
Yes
No
Please Explain*
Speech*
--Select--
Yes
No
Please Explain*
Behavioral*
--Select--
Yes
No
Please Explain*
Please share any additional information that you think would be helpful in our understanding of your child
Our yeshiva currently provides limited resource services. In the event that your child is recommended for those servcies and should that service entail a cost, you will be notified and billed directly by the service provider.
PLEASE NOTE: MOST OF YESHIVA KETANA OHR REUVEN’S SPECIAL EDUCATION SERVICES ARE PROVIDED THROUGH THE RAMAPO CENTRAL SCHOOL DISTRICT IN WHICH WE ARE LOCATED. If your child is currently receiving special education related services or is in the process of an evaluation to receive these services, it is your parental obligation to contact Ramapo Central School District by the June 1st preceding the September of the academic school year in which your child begins attendance. RAMAPO CENTRAL WILL NOT PROVIDE SERVICES BASED ON THE SCHOOL’S REQUEST AND WILL NOT PROVIDE SERVICES BASED ON A PARENT’S REQUEST THAT COMES IN AFTER THE JUNE 1ST DEADLINE.
Tuition
Limited tuition assistance may be available for students in grades Pre-1-A through 8. Unfortunately, there are no scholarships available for Kindergarten.
Please note that if your kindergarten child does not obtain or is not eligible for UPK funding from the District, the payment generally provided by UPK will be added to your tuition bill. The Yeshiva has no control over over the District's UPK funding appropriations.
Tuition Information*
--Select--
We will be able to pay full tuition.
We will need to apply for a scholarship.
We would like to be contacted regarding joining the Nedivim Society (a select group of parents who pledge significant, continued financial support above the tuition obligation).
We would like to be contacted regarding joining the N’shei.
Acceptance and continuing enrollment in the school is dependent upon the accuracy of this application, maintenance of regular and satisfactory work and appropriate conduct, both in Limudei Kodesh and General Studies. The student and his family are required to familiarize themselves with, and to abide by, all the regulations of the Yeshiva as stated in the Yeshiva Ketana Ohr Reuven Parent Handbook. Yeshiva Ketana Ohr Reuven admits students of any race, color, and national or ethnic origin.
Please attach a copy of your son's birth certificate*
Choose file
Please attach a family picture*
Choose file
Please attach your son's most recent immunization records*
Choose file
Select One*
I have attached copies of all formal evaluation reports.
I have not had any formal evaluations done for my son.
Additional Application Notes
Information Release Consent
Did you ever apply to our yeshiva before?
--Select--
Yes
No
Which child did you apply for?
I give permission for Yeshiva Ketana Ohr Reuven to contact my son’s current or previous teacher/school, Rav, etc. Information requested may include: conferencing with school personnel, observation in classroom setting, reports, or other related records.
I hereby certify that the information given in this application is complete and accurate.
Signature of Parent*
Date*
When you click "SUBMIT" you will get to the payment page.
DO NOT press back as it will take you out of the payment page and you will not be able to come back into the payment page.
Fee must be paid via credit card only, no cash or checks please.
Should you need assistance with submitting this application, please contact
Mrs. Weisman, our computer specialist,
at 845.362.8362, ext. #117.
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