Northwest Yeshiva High School
New Student Application for 2022-2023 School Year
Student Information
Student's Name
*
First Name
Last Name
Gender
Female
Male
Other
Birth Date
*
-
Month
-
Day
Year
Date Picker Icon
Student's Email
example@example.com
What grade will the student be entering during the 2022-2023 School Year?
*
9th
10th
11th
12th
Does the student hava a documented learning need(s), IEP or 509?
*
Yes
No
If the student has a documented learning need(s), IEP or 509, please provide detail here.
Parent/Guardian Information
1st Parent/Guardian Name
*
1st Parent/Guardian Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
1st Parent/ Guardian Email
*
example@example.com
1st Parent/Guardian Mobile Phone
*
-
Area Code
Phone Number
2nd Parent/Guardian Name
2nd Parent/Guardian Address (if different)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
2nd Parent/Guardian Email
example@example.com
2nd Parent/Guardian Mobile Phone
-
Area Code
Phone Number
Would the parents/guardians prefer separate mailings?
Yes
No
Sibling Information:
Name
Age
Grade
School Name
Sibling Information:
Name
Age
Grade
School Name
Did either parent/guardian attend NYHS?
Yes
No
If yes, what year did the parent/guardian graduate from NYHS?
Why would you like your child to attend NYHS?
*
Please describe your child's strengths and challenges. How do they respond to challenges?
*
If there is any additional information that you would like to share with us, please feel free to do so here.
*
Student Section
To be completed by the student.
Describe a class project or assignment that you enjoyed. Why did you enjoy it? What did you learn?
*
100 word minimum
0/100
What are your greatest hopes about attending NYHS?
*
Please list your hobbies, sports, and/or interests.
*
References
Please provide us with the contact information for two references. References can be from the School Principal, Teacher, Rabbi, Youth Group Leader, Camp Director or other Jewish mentor.
Reference #1
*
First Name
Last Name
Reference #1 email
*
example@example.com
Reference #2
*
First Name
Last Name
Reference #2 email
*
example@example.com
Submit
Should be Empty: