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Hillel Academy New Student Registration
New Student Application
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New Student Application
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Student's Firstname
Student's Lastname
Student's Middlenames
Proposed Entry Date
Proposed Grade
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Student's Birthdate
Student's Gender
Student's Nationality
Student's Native Language
Other Languages
Country of Citizenship
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Father's Name
Father's Nationality
Father's Occupation
Father's Home Address
Father's Email Address
Father's Home Phone
Father's Cell Number
Father's Mailing Address
Is the Father an Alumnus of Hillel Academy?
If So, What Grades and Years
Father's Place of Employment
Father's Position
Father's Work Telephone
Tuition Fees paid by Father's Company?
Mother's Name
Mother's Nationality
Mother's Occupation
Mother's Home Address
Mother's Email Address
Mother's Home Phone
Mother's Cell Number
Mother's Mailing Address
Is Mother an Alumnus of Hillel Academy?
If so, what grades and years
Mother's Place of Employment
Mother's Position
Mother's Work Phone
Tuition fees paid by Mother's Company?
Current School Name
Current School Address
Contact Person/Phone
Grades and dates attended
Previous School Name
Previous Address
Contact Person/Phone
Grades and dates attended
Has your child received Enrichment/Accelerated Programme?
Has your child received Remedial Assistance?
If so, State Subject and Form
Has your child ever repeated grade YN
If Yes, what is the reason
Has your child ever done a psycho-educational assessment?
If Yes, what is the date of the most recent assessment?
Is your child taking any medications?
If yes, please explain
English as a second Language?
Please supply any additional information that will help us to meet the educational or physical needs of your child
Sibling 1 Full Name
Sibling 1 Current School
Sibling 1 Date of Birth
Sibling 1 Gender
Sibling 2 Full Name
Sibling 2 Current School
Sibling 2 Date of Birth
Sibling 2 Gender
Sibling 3 Full Name
Sibling 3 Current School
Sibling 3 Date of Birth
Sibling 3 Gender
Reasons for Applying to Hillel Academy
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