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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

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

  • Emergency Contact

  • File Uploads

    If you are having trouble uploading your files please email them to
  • Accepted file types: jpg, gif, png, jpeg.
  • 7th and 8th grade report card and transcripts and any standardized testing results from 6th grade and on.
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    Accepted file types: pdf, jpg.
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  • 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.