Apply – Hebrew Public

Parent/Guardian First Name *

Parent/Guardian Last Name *

Relationship to student *

Parent/Guardian Home Address *

Parent/Guardian Apartment, Unit, Suite Number (optional)

Parent/Guardian City *

Parent/Guardian State *

Parent/Guardian Zip Code *

Contact Preference *

Parent/Guardian Email *

Parent/Guardian Phone Number *

Student First Name *

Student Middle Name (optional)

Student Last Name *

Student Date Of Birth *

Student Gender *

Student Address *

Student Home Address *

Student Apartment, Unit, Suite Number *

Student City *

Student State *

Student Zip Code *

Current School *

Current Grade *

For which school year are you applying? *

Choose the school(s) to which you would like to apply *

Hebrew Language Academy - 2186 Mill Avenue, Brooklyn, NY 11234 (K - 8)

Hebrew Language Academy 2 - 2286 Cropsey Avenue, Brookyn, NY 11214 (Pre-K - 5)

Staten Island Hebrew Public - 829 Father Capodanno Boulevard, Staten Island, NY 10305 (K-3)

Grade applying to *

Grade applying to (Staten Island) *

Is there a sibling applying as well? *

Please fill out a separate application for each child.

Yes

Sibling full name *

Sibling birth date *

What grade is sibling applying to *

Does this student have a sibling who is currently attending a Hebrew Public school? *

Yes

Sibling full name *

Sibling birth date *

Sibling current grade *

How did you hear about us? *

Please specify who: *

Which Pre-K? *

Which CBO? *

Which newspaper or magazine? *

Which Community Event? *

Which School Fair or Open House? *

Which staff member? *

Please explain how you heard about us *

Does your family speak a language other than English at home? *

HLA and HLA2 provide children who are not proficient English speakers with priority in the admissions lottery. If you believe your child qualifies for this type of lottery priority, please indicate above. A child qualifies as an English Language Learner (ELL) if English is not his/her native language, and s/he is not yet able to communicate fluently or learn effectively in English.

Yes

I prefer to not to answer

I have read and agreed to the following: *

It is your responsibility to follow up with the school to ensure the receipt of your application by phone or email. Non-Discriminatory Statement: A charter school shall not discriminate against or limit the admission of any student on any unlawful basis, including on the basis of ethnicity, national origin, gender, disability, intellectual ability, measures of achievement or aptitude, athletic ability, race, creed, gender, national origin, religion or ancestry. A school may not require any action by a student or family (such as an admissions test, interview, essay, attendance at an information session, etc.) in order for an applicant to either receive or submit an application for admission to that school. Applications received after 4/1/2023 will be added to the waitlist.

Yes