Grades 1-8 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 Child's Report Cards from the past two years
$100 Application Fee (will be required on submission). Fee must be paid via credit card only, no cash or checks please.
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.
Your son's most recent immunization records.

*starred fields are required

Student

Last Name*

First (and Middle)*

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

Name Called

Admission for School Year*

Date of Birth*

Parents

Marital Status*

Name of Rav*

Telephone #*

Shul with which parents are affiliated*

Father

Father's Title*

Father's Name*

Father's Occupation (Position and Business Name)*

Father's Cell Number*

Father's Work Number

Father's Email*

Mother

Mother's Title*

Mother's Name*

Mother's Occupation (Position and Business Name)*

Mother's Cell number*

Mother's Work Number

Mother's Email*

Mother's Maiden Name*

Contact Information

Home Phone Number

Home Address*

Apt

City*

State

Zip*

Grandparents

Relationship

Does student have grandparents?*

Relationship

Does student have grandparents?*

Add More

Siblings

Name*

School Attending*

DOB*

Gender*

Add More

Technology

Yeshiva Ketana Ohr Reuven's Policy is that all devices with internet access must be filtered.

Do you have Television?*

Do you have internet access in your home?*

Is there internet access on the father's phone? *

Is there internet access on the mother's phone?*

Yeshiva Affiliation

Are you already affiliated with Yeshiva?*

Current Yeshiva

Yeshiva Talmid Currently Attends*

Menahel/Principals*

Telephone #*

Reference

You can contact the following person who knows my son best*

Relationship to talmid*

Telephone #*

Previous Schools

School Name*

Location*

Dates of Attendance*

Add More

Camps Attended

Camp Name*

Location*

Dates of Attendance*

Add More

Talmid Information

What is your primary reason for wanting to switch your child?*

What is the applicant's favorite subject?*

Which subject does he find most challenging?*

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?*

If yes, please describe*

Additional Support

Did your son ever receive an evaluation for any special services (including: Education, Speech Language, OT, PT, etc)?*

Has your son ever received any additional support academically?*

Do you envision your son requiring any additional support academically?*

Has your son ever received additional support emotionally?*

Do you envision your son requiring any additional support emotionally?*

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.

Tuition Information*

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 family picture*

Choose file

Please attach your son's most recent immunization records.*

Choose file

Please attach copies of the previous two years of report cards, both Kodesh and Chol

Last Year's Kodesh Report Card*

Choose file

Last Year's Chol Report card

Choose file

Two Year's Ago Kodesh Report Card

Choose file

Two Year's Ago Chol Report Card

Choose file

Additional Application Notes

Information Release Consent

Did you ever apply to our yeshiva before?

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. at 845.362.8362, ext. #117.