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Dear Parent: Thank you for your interest in Yeshiva Toras Chaim Toras Emes Klurman Elementary School. Choosing the best school for your child can be an exciting and sometimes overwhelming experience. I look forward to helping you through the process. Please follow the application checklist below to ensure that the proper steps are taken for admission. Once we have received your application, we will contact you to schedule an academic screening. Once we receive the results of the academic screening, you will be contacted to schedule an interview with our Principal. (Please allow two weeks between the academic screening and interview.) SEND ALL APPLICATION MATERIALS TO: Yeshiva Toras Chaim Toras Emes Office of Admissions 1051 North Miami Beach Boulevard North Miami Beach, Florida 33162 Fax: 305-489-0575 If you have any questions or concerns, please feel free to contact me at 305-947-6000 ext. 310 or [email protected]. Looking forward, Mrs. Miryam Schloss Director of Admissions Roshei HaYeshiva Rabbi Binyomin Luban Rabbi Yisroel Y. Niman Rabbi Mordechai Palgon Founding Rosh HaYeshiva Rabbi Bentzion Chait Principal Rabbi Kalman Baumann Secular Studies Principal Dr. Deborah Lerer Assistant Principal Rabbi Noam Grossman President Dr. Allan I. Jacob President Dr. Jonathan Rubin Vice President Rabbi Moshe Lehrfield YESHIVA TORAS CHAIM TORAS EMES KLURMAN ELEMENTARY SCHOOL Complete and return the Application Form. Include a recent Picture. Include a $100.00 non-refundable Application/ Processing Fee (checks can be made out to Toras Emes ) Submit a signed copy of the Transcript Request Form, which we will fax to your child’s school. Phone 305-947-6000 Address 1051 North Miami Beach Boulevard, North Miami Beach, FL 33162 Online www.ytcteam.org Email [email protected]

YESHIVA TORAS CHAIM TORAS EMES KLURMAN ELEMENTARY … · 2014-01-07 · Dear Parent: Thank you for your interest in Yeshiva Toras Chaim Toras Emes Klurman Elementary School.Choosing

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Page 1: YESHIVA TORAS CHAIM TORAS EMES KLURMAN ELEMENTARY … · 2014-01-07 · Dear Parent: Thank you for your interest in Yeshiva Toras Chaim Toras Emes Klurman Elementary School.Choosing

Dear Parent:

Thank you for your interest in Yeshiva Toras Chaim Toras Emes Klurman Elementary School. Choosing the best school for your child can be an exciting and sometimes overwhelming experience. I look forward to helping you through the process.

Please follow the application checklist below to ensure that the proper steps are taken for admission.

Once we have received your application, we will contact you to schedule an academic screening.

Once we receive the results of the academic screening, you will be contacted to schedule an interview with our Principal. (Please allow two weeks between the academic screening and interview.)

SEND ALL APPLICATION MATERIALS TO:Yeshiva Toras Chaim Toras EmesOffice of Admissions1051 North Miami Beach BoulevardNorth Miami Beach, Florida 33162Fax: 305-489-0575

If you have any questions or concerns, please feel free to contact me at 305-947-6000 ext. 310 or [email protected].

Looking forward,

Mrs. Miryam Schloss Director of Admissions

Roshei HaYeshiva Rabbi Binyomin Luban Rabbi Yisroel Y. Niman Rabbi Mordechai Palgon

Founding Rosh HaYeshiva Rabbi Bentzion Chait

Principal Rabbi Kalman Baumann

Secular Studies Principal Dr. Deborah Lerer

Assistant Principal Rabbi Noam Grossman

President Dr. Allan I. Jacob

President Dr. Jonathan Rubin

Vice President Rabbi Moshe Lehrfield

YESHIVATORAS CHAIMTORAS EMES

KLURMANELEMENTARY SCHOOL

⎕ Complete and return the Application Form.

⎕ Include a recent Picture.

⎕ Include a $100.00 non-refundable Application/Processing Fee (checks can be made out to Toras Emes )

⎕ Submit a signed copy of the Transcript Request Form, which we will fax to your child’s school.

Phone 305-947-6000 Address 1051 North Miami Beach Boulevard, North Miami Beach, FL 33162 Online www.ytcteam.org Email [email protected]

Page 2: YESHIVA TORAS CHAIM TORAS EMES KLURMAN ELEMENTARY … · 2014-01-07 · Dear Parent: Thank you for your interest in Yeshiva Toras Chaim Toras Emes Klurman Elementary School.Choosing

STUDENT INFORMATION

FAMILY INFORMATION

Student’s name (last, first): Date of birth: / /

Current grade: Home phone:

Home address:

Country of birth: Language(s) spoken at home:

FATHER MOTHER(Circle one) Mr. / Dr. / Rabbi (circle one) Mrs. / Ms. / Dr.

Occupation: Occupation:

Employer: Employer:

Work #: Cell #: Work #: Cell #:

Email: Email:

Please list all your children other than the applicant:

CHILD’S NAME DATE OF BIRTH NAME OF SCHOOL

/ /

/ /

/ /

/ /

/ /

/ /

/ /

Parents are: (Circle one) Married / Separated / Divorced / Widowed Custodial parent(s)*

Mother is: (Circle one) Deceased / Remarried Stepfather’s name

Father is: (Circle one) Deceased / Remarried Stepmother’s name

Child lives with Relationship *Documentation required (all paperwork will remain confidential.)

Please affix a recent

photo of your child here.

Today’s date: / /

YESHIVATORAS CHAIMTORAS EMES

KLURMANELEMENTARY SCHOOL

Phone 305-947-6000 Address 1051 North Miami Beach Boulevard, North Miami Beach, FL 33162 Online www.ytcteam.org Email [email protected]

Page 3: YESHIVA TORAS CHAIM TORAS EMES KLURMAN ELEMENTARY … · 2014-01-07 · Dear Parent: Thank you for your interest in Yeshiva Toras Chaim Toras Emes Klurman Elementary School.Choosing

PREVIOUS SCHOOL ATTENDED CONTACT AND PHONE # DATES ATTENDED

CURRENT SCHOOL CONTACT AND PHONE # ATTENDED SINCE

Hebrew Principal: English Principal:

Best contact #: Best contact #:

Email: Email:

Please list any grades skipped or repeated and why:

SCHOOL INFORMATION

Has your child received any of the following services (either privately or in school) within the past two years? Check all that apply:

Speech therapy Occupational therapy Physical therapy

Psychological services Special education intervention Educational or psychological evaluation

Indicate if your child is taking any medication on a regular basis. Please list and explain:

Please list any allergies or relevant medical conditions:

How did you hear about our school?

Additional comments and information that would help us best meet the needs of your child (will be kept confidential):

ADDITIONAL INFORMATION

PARENT’S SIGNATURE

By signing below, I indicate my authorization to have the school interview my child and review my child’s records from the current or previous principal and faculty to help determine acceptance and placement.

/ / Parent signature date

Phone 305-947-6000 Address 1051 North Miami Beach Boulevard, North Miami Beach, FL 33162 Online www.ytcteam.org Email [email protected]

YESHIVATORAS CHAIMTORAS EMES

KLURMANELEMENTARY SCHOOL

Page 4: YESHIVA TORAS CHAIM TORAS EMES KLURMAN ELEMENTARY … · 2014-01-07 · Dear Parent: Thank you for your interest in Yeshiva Toras Chaim Toras Emes Klurman Elementary School.Choosing

Phone 305-947-4007 Address 1051 North Miami Beach Boulevard, North Miami Beach, FL 33162 Online www.ytcteam.org Email [email protected]

I request that the school record of be forwarded to:

Yeshiva Toras Chaim Toras EmesOffice of Admissions1051 North Miami Beach BoulevardNorth Miami Beach, Florida 33162Fax: 305-489-0575 Email: [email protected]

for the purpose of admission review and academic placement.

Please include the following information:

⎕ Transcript/academic/interim report records for Limudei Kodesh and General Studies from the last two school years.

⎕ Results of standardized achievement and/or aptitude tests.

⎕ If applicable, copies of special personal evaluations or psychological reports.

⎕ Copy of medical and immunization health records.

I also authorize the school and teachers to release information about my child which would identify apparent learning strengths or weaknesses and patterns of behavior.

Signature Print Name

/ / Relationship to applicant Date

Name of School: Fax Number: Email Address:

TRANSCRIPT REQUEST FORM

YESHIVATORAS CHAIMTORAS EMES

KLURMANELEMENTARY SCHOOL