About Your ChildFull Name *Hebrew NameApplication For *Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th GradeFor academic year beginning *2024202420252024Date of Birth *Age *Gender *MaleFemaleCurrent School *Current Teacher *Current Grade *Please select an optionPre-KKindergarten1st2nd3rd4th5th6thPlease select an optionHas your child had any previous Jewish education *YesNoIf so, where?How many years?Does your child have a condition or physical limitation that may require special accommodation? *YesNoPlease describe the physical limitation:About Guardian 1TitleDr.RabbiMr.Mrs.Ms.Dr.Full Name *Street Address *Apartment, suite, etcCity *State *ZIP *Home Phone *Cell Phone *Email Address *Occupation *Company Name *Company Address *Company Phone *United States +1Congregation *Status *MarriedDivorcedSingleSeparatedLegal GuardianHave you previously applied for admission to Akiva School? *YesNoIf so, when?Do you have a child currently enrolled at Akiva? *YesNoDid you attend Akiva School? *YesNoIf so, when?If so, when?Do you wish to add a second guardian? *YesNoAbout Guardian 2TitleDr.RabbiMr.Mrs.Ms.Dr.Full NameStreet Address *Apartment, suite, etcCity *State *ZIP *Home PhoneCell PhoneEmail AddressOccupationCompany NameCompany AddressCompany PhoneUnited States +1CongregationStatusMarriedDivorcedSingleSeparatedLegal GuardianDid they attend Akiva School?YesNoSiblingsNameDate of BirthSchool GradeNameDate of BirthSchool GradeNameDate of BirthSchool GradeNameDate of BirthSchool GradeAgreementPlease attach a separate letter telling us what makes your child unique and why you are looking to send your child to Akiva School. By submitting this application, you hereby: Certify that the information on this application is accurate and complete. Authorize Akiva School to pursue information relevant to the application process. Release rights to all information collected. Give Akiva School permission to contact your child's current school/preschool. Submission of this application requires a $100 non-refundable application fee. Click here to pay the application fee.Upload LetterChoose FileNo file chosenDelete uploaded fileAccepted file types include .doc, .docx, .odt, .pdf, and .txt only. Your file may not exceed 5MB.Submit Application!
