Application

Thank you for considering Shalom School. Please complete an application for each child and submit a non-refundable application fee of $75 per family.

Child Information

* Child's Name

* Date of Birth

* Gender

* School year?

* Grade/Class?

Parent/Guardian 1

* First Name

* Last Name

* Phone

* Email

* Address

* City

* State

* Zip Code

* Occupation

* Employer

Parent/Guardian 2

First Name

Last Name

Phone

Address is same as above

Address

City

State

Zip Code

Occupation

Employer

Family Information

* My child(ren) live with:

Other:

Sibling name

Date of Birth

School

Sibling name

Date of Birth

School

Sibling name

Date of Birth

School

Is your family affiliated with a synagogue? If so, which one?

* Are you raising your child in a Jewish home?

School Information

* Please share with us some of the reasons you feel that Shalom School would be a desirable environment for your child and your family and what elements of the Shalom School mission speak to you most:

Current school?

Neighborhood school?

Previous schools attended?

What other schools are you considering for your child?

Are either parent/guardian an alumnus of Shalom School? If so, what year?

Developmental Information

* Please tell us about your child socially, emotionally, and intellectually:

* Please provide any information pertinent to your child’s success at Shalom School (Special needs or other critical information regarding your child):

If yes, please explain:

By signing this application, authorization is hereby given for the transfer of all necessary information for the above student. This may include written and verbal recommendations, evaluations, copies of report cards, official transcripts of grades, and standardized test results. I/We understand and agree that all recommendations and evaluations are confidential and will not be disclosed to me/us.

I am interested in learning more about our confidential tuition assistance process.

K-6 applicants: I understand that I must submit a letter of recommendation, report cards, and test scores to complete this application.

* I understand that a non-refundable registration fee of $75/family must accompany this form.

I understand that a non-refundable registration fee of $75/family must accompany this form.A confirmation email will be sent shortly with payment information.

* Signature

* Date

Wed, October 4 2023
19 Tishrei 5784

Update this content.

Wed, October 4 2023 19 Tishrei 5784