Admissions Application – Beth Hillel Day School

Elementary School Admissions Application

Applicant Information
Applicant Name*
First Last
Applicant Preffered Name*
Applicant Date of Birth*
MM slash DD slash YYYY
Applicant Home Address*
Street Address City State ZIP Code
Applying for Grade*
Current Grade*
Current School*
Grades Attended*
Other Schools Attended
Other Schools Grades Attended
Family Information
Parent/Guardian 1 Name*
First Last
Parent/Guardian 1 Email*
Parent/Guardian 1 Home Phone
Parent/Guardian 1 Cell Phone*
Parent/Guardian 1 Home Address*
Street Address City State ZIP Code
Parent/Guardian 1 Occupation*
Parent/Guardian 1 Business Address*
Street Address City State ZIP Code
Parent/Guardian 2 Name
First Last
Parent/Guardian 2 Email
Parent/Guardian 2 Home Phone
Parent/Guardian 2 Cell Phone
Parent/Guardian 2 Home Address
Street Address City State ZIP Code
Parent/Guardian 2 Occupation
Parent/Guardian 2 Business Address
Street Address City State ZIP Code
Sibling 1 Name
First Last
Sibling 1 Date of Birth
MM slash DD slash YYYY
Sibling 1 Current School
Sibling 2 Name
First Last
Sibling 2 Date of Birth
MM slash DD slash YYYY
Sibling 2 Current School
Sibling 3 Name
First Last
Sibling 3 Date of Birth
MM slash DD slash YYYY
Sibling 3 Current School
Parent Form
Please describe your child in three words. Speak to their personality traits, interests, and skills.*
Please describe your child’s experience in their current school.*
Why have you chosen to apply to Beth Hillel Elementary?*
What are your expectations for your child’s elementary school experience?*
How are you active in the Jewish community?*
Are there any special characteristics about your child of which you would like us to be aware?*
Please list other school to which you are applying:*
Do you have relatives who attend or have attended Beth Hillel Elementary? Please provide their names, relationship, and the dates of attendance at Beth Hillel Elementary.
Are you interested in receiving information regarding our financial assistance program?*
- Yes
- No
Parent/Legal Guardian Signatures
We are delighted to consider your child for admission to Beth Hillel Elementary. Our admission process is selective and includes an assessment. Submitting your application does not guarantee admission. Signatures for each Parent/Guardian in the applicant's family are required.
Parent/Guardian Signature*
First Last
Date*
MM slash DD slash YYYY
Parent/Guardian Signature
First Last
Date
MM slash DD slash YYYY
By selecting the "Submit Admissions Application" button, you are signing this Application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Application.*
- Submit Admissions Application
Beth Hillel Elementary Admission Application Fee*
Price:

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(818) 763-8308

12326 Riverside Drive, Valley Village, CA 91607

Elementary School Admissions Application

Applicant Information

Family Information

Parent Form

Parent/Legal Guardian Signatures

Beth Hillel Day School

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