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Intent to Apply for the Academic Year 2024-2025
Your application will be reviewed in the order that it is received. This intent to apply expresses your interest in the program however this does not guarantee enrollment in the program.
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Email
*
Your email
Family Information
Which Department are you intention to apply to?
Ora Early Childhood
JVA Middle School
Maor
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If you are applying to Ora Early Childhood, are you considering half day or full day?
Half Day
Full Day
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Child's Name
*
Your answer
Gender
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Home Address
*
Your answer
Home Phone Number
*
Your answer
Mother's Name
*
Your answer
Mother's Email
*
Your answer
Mother's Cell Phone Number
*
Your answer
Father's Name
*
Your answer
Father's Email
*
Your answer
Father's Cell Phone Number
*
Your answer
What Shul do you attend?
*
Your answer
Name of Rabbi?
*
Your answer
Background Inforrmation
What is your child’s current school and grade level?
*
Your answer
Does your child currently have an IEP or 504 plan?
*
Your answer
Does your child receive any of the following services?
IHSS
Respite
Does your child currently receive any of the following services?
*
Occupational Therapy
Adaptive PE
ABA Therapy
Speech Therapy
Physical Therapy
None of the Above
Required
If so, what is the frequency (how many times a week) of the service?
*
Your answer
Please provide a brief description of your child
*
Your answer
A copy of your responses will be emailed to the address you provided.
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