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  • Student Information

  • Date Format: MM slash DD slash YYYY
  • Mother Information

  • If same as students, leave blank
  • Father Information

  • If same as students, leave blank
  • Sibling Information

  • Section Break

  • Heichal HaTorah is concerned with the academic and social needs of each Talmid

  • Please upload any IEP or 504 Plan documents
    Drop files here or
    Accepted file types: pdf, jpg.
  • File Uploads

    If you are having trouble uploading your files please email them to adivine@HeichalHaTorah.org
  • Accepted file types: jpg, gif, png, jpeg.
  • 7th grade report card
    Drop files here or
    Accepted file types: jpg, gif, png, jpeg.
  • Standardized testing results from 6th grade and on.
    Drop files here or
    Accepted file types: jpg, gif, png, jpeg.
  • Application Fee

    Upon clicking submit you will be directed to Paypal to complete the non-refundable $250 application fee.
  • By submitting this application, I affirm that the facts set forth in it are true and complete and I give Heichal HaTorah permission to request a transcript from my child's current school.