Ashreinu School

Student's Legal First Name *

Student's Legal Middle Name *

Student's Legal Last Name *

Nickname

if any

Gender *

Date of Birth *

Grade entering Fall Semester '23 *

This is the numeric grade for the student as of Fall '23. For example, enter the number 8 if the student will be in 8th Grade.

Address Line 1 *

Address Line 2

City *

State/Province *

Zip/Postal Code *

Country *

Phone Number *

Parent/Guardian Legal Names *

One name per line

Parent/Guardian Address

If different from the address provided above

Parent/Guardian Phone Number

If different from the student phone number

Parent/Guardian Email Address *

Student Email Address

If applicable

How did you hear about Ashreinu School? *

Name of home congregation *

if attending regularly

Name of rabbi/pastor/congregational leader *

if applicable

Rabbi/pastor/congregational leader phone number

if applicable

Rabbi/pastor/congregational leader email address *

if applicable

For which class or program are you submitting this application? *

Please mark your child’s proficiency in Hebrew (students with no experience will automatically enter Kita Aleph unless they qualify for the Fast Track! Program): *

No experience

Knows AlephBet

Can pronounce but not comprehend

Has basic reading and comprehension skills

Has moderate reading and comprehension skills

Has advanced reading and comprehension skills

My child has mastered Biblical Hebrew and wants to learn modern/conversational Hebrew

So that Ashreinu School can best serve your family, which of the following best describes the prospective student? Select one: *

Student has at least one Jewish parent

Student does not have a Jewish parent

Does the student attend a place of worship on a regular basis? Select one: *

Messianic Jewish synagogue

Mainstream Jewish synagogue

Mainstream church

Does not attend a place of worship

Please list any medical, developmental, or psychiatric conditions that affect your child’s learning experience: *

if applicable

Ashreinu School provides a Messianic Jewish education with a focus on Hebrew literacy. The school is not a replacement for a Messianic synagogue or the guidance of your local Messianic rabbi. Ashreinu School does not determine if or when a child is ready for B’nai Mitzvah. Parents should remain in close contact with their local rabbi or officiant of their choosing to ensure that their child meets their local congregation’s requirements for B’nai Mitzvah. *

I agree with this statement.

I understand that following my application, there will be a meeting to determine my child’s entrance level. My child’s admission is dependent on space permitting and the results of this exam. *

I agree with this statement.