23-24 New Student Application and Enrollment Contract

2023-2024 New Student Application and Enrollment Contract
WELCOME! Admission Information and How to Apply

Thank you for your interest in applying to The Hebrew Academy. We look forward to welcoming your family to The Hebrew Academy family!

The Admissions office is here to assist you with any questions you may have. If you have any questions, please contact Linda Glickstein, Director of Admissions at 732-431-5525 or linda@thanj.org.

Please note that our admissions process requires both an Application for Admission and New Student Contract for each new student. For questions regarding financing or to apply for a Scholarship Grant, please contact The Hebrew Academy Business Manager, Laurie Shapiro at 732-431-5525, or laurie@thanj.org.

Did you complete your application? Your application is complete when we have received the following:
1. Completed New Student Contract
2. Completed Application For Admission
3. $1050 Deposit, per student
4. Teacher Evaluation Forms
5. Official Transcripts, including Report Cards, Standardized Tests, etc.
6. Copy of Birth Certificate
7. Health Records
8. Release of Records Request
Once your application is complete, we will be in touch to schedule a visit for your child(ren).

2023-2024 Early Action Discounts, Scholarship Grants, and Enrollment Deadlines

March 27, 2023 Early Action Discounts:
- Transition, Nursery, and Pre-K:
  - Apply by 3/27/23 and receive a 20% Early Action Discount for All Full-Time Students
- Kindergarten:
  - Apply by 3/27/23 and receive a 15% Early Action Discount for All Full-Time Students
- Grades 1 - 8
  - Apply by 3/27/23 and receive an Early Action Discount
Priority Enrollment For Returning Students and Siblings ends on March 15, 2023, at which time review of New Student Applications will begin.
- It is expected that the number of applications will exceed available spaces in certain grades; therefore, in order to secure enrollment, please adhere to all applicable deadlines.
Scholarship Grant Application March 15, 2023 Deadline:
- If applying for a Scholarship Grant, the completed enrollment and grant applications are required to be submitted by March 15, 2023. No grant applications will be reviewed until the enrollment contract, and $400 deposit are received.
- Scholarship Grant Applications are reviewed in the order in which they are received.
- Your 2022 Federal Tax Return is not required at this time if not yet filed; however, the submission of your 2020 and 2021 federal returns are required. If your 2022 Federal Tax Return is filed, then submit only your 2021 and 2022 Federal Tax Returns.
Please Note:
- In all cases, deposits are credited against tuition.
TUITION PAYMENT OPTIONS:

A. PAY IN FULL by May 15, 2023, and receive a $200 pre-payment discount for each full-paying student in Toddler, Transition, Nursery, Pre-K, & K and a $300 pre-payment discount for each full-paying student in grades 1-8 . Payment may be by check or credit card; please note, however, that a 3.0% convenience fee will be imposed for use of a credit card.

B. Pay monthly by enrolling in the Blackbaud Tuition Management Program (formerly SMART Tuition), our interest-free tuition management company. All families who do not prepay are required to enroll in the program. A $72 Blackbaud fee will be added to your tuition invoice. Tuition payments will be automatically deducted from your bank account on a monthly basis. If paid by credit card, Blackbaud will add an additional monthly convenience fee of 2.98% to each payment.

The Blackbaud Tuition Management Program payment schedule for the 2023-2024 school year is as follows:
- Your 10 monthly payments will begin in June 2023 and end March 2024. You may choose from the following monthly payment date that best fits your budget, either the 10th, 20th, or 30th, of the month.
IN ALL CASES, DEPOSITS WILL BE CREDITED AGAINST TUITION BILLS.
- Full deposit of $1000 (Current Students)
- Full deposits of $1050 (New Students)
- If paying by credit card, a 3% convenience fee will be added to your full deposit (Deposit of $1030 for Current Students and $1082 for New Students).
You will have the choice of paying in full (and receivingthe full payment discount), or enrolling in the Blackbaud Tuition Management program.

Parent/Guardian Information

Please enter both parent/guardian information
DIRECTIONS: Complete both “Parent and Guardian” sections unless the applicant has only one parent. In case of divorce, where both parents have custodial responsibilities, both sections must be completed AND BOTH PARENTS OR GUARDIANS MUST SIGN THE CONTRACT. Please note that in cases of divorce, unless we receive instructions to the contrary, the information about both parents listed in the contract will be included on school and class rosters.

Parent/Guardian
Parent/Guardian Full Name*

First NameLast Name
If Guardian, Relationship to Student:
Parent/Guardian Employer Name*
Parent/Guardian Job Title*
Parent/Guardian Email*
example@example.com
Parent/Guardian Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Cell Phone*

Area CodePhone Number
Parent/Guardian Home Phone

Area CodePhone Number
Parent/Guardian Work Phone

Area CodePhone Number

Parent/Guardian 2
Parent/Guardian 2 Full Name

First NameLast Name
If Guardian, Relationship to Student:
Employer Name
Job Title
Parent/Guardian 2 Email
example@example.com
Parent/Guardian 2 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian 2 Cell Phone

Area CodePhone Number
Parent/Guardian 2 Home Phone

Area CodePhone Number
Parent/Guardian 2 Work Phone

Area CodePhone Number

Parent/Guardian Information

Please enter both parent/guardian information
Marital Status Parent/Guardian:*

MarriedSeparatedSingleDivorced
If parents are separated, divorced, describe custody arrangements:
Please specify any special mailing instructions (duplicate mailings, etc.):

Student Information

Please complete one application per student
The information requested on this application will be held in strict confidence.
The undersigned hereby apply for enrollment of the following child as a student in The Hebrew Academy (the “School”):
Applicant's Name*

First NameLast Name
Applicant's Hebrew Name*
Applicant's Birthdate*

MonthDayYear
Date
Sex*
Applicant's Age
Place of Birth*
If not U.S, Date of Arrival
Family Email*
example@example.com
Home Phone Number*

Area CodePhone Number
Applicant(s) live with:*

Both ParentsMotherFatherGrandparentsGuardian
Address if different than parents

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Candidate for Grade*
*For Toddler ONLY: Days/Hours if not full-time:
*For Toddler and Transition ONLY: please contact the Admission Office for options other than 5 days/week.
Names of Other Children in Family

Student Educational Information
Current School
Current Grade
School Principal
Current Teacher
School Number

Area CodePhone Number
School Fax

Area CodePhone Number
School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Other Schools Attended by Applicant

Student Medical Information
Any and all information that helps create a more complete profile of your child is beneficial in understanding your child’s learning and social needs. Therefore, we require access to such information in order to consider this application complete.
Indicate if your child has ever been evaluated by a:*

Child Study TeamPhysical/occupational therapistSpeech/language therapistLearning specialist or psychologistN/A
Please describe any services that are ongoing and submit all reports:
Are there any special issues in your child's history of which the school should be aware (medical/allergy concerns, physical or emotional development, family life, custodial arrangements, etc.)?

Student Background Information
As a Jewish Day School, The Hebrew Academy admits only Jewish children. This means children born of a Jewish mother (one who is Jewish by birth or by conversion), or a child who has undergone conversion. In either of these cases, please submit a copy of the conversion certificate.

Please select ALL that apply below.
Mother is Jewish*
Father is Jewish*
Child is Jewish*

Family/Special People Information (Optional)
The Hebrew Academy Alumni Relatives:

Maternal Grandparents and/or Special Person
Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Alumni of THA or SSDS
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Special Interests or Talents:

Paternal Grandparents and/or Special Person
Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Alumni of THA or SSDS
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Special Interests or Talents:

Terms & Conditions

You must read all of the Terms & Conditions BEFORE agreeing
By signing this Agreement electronically, I agree that my electronic signature is the legal equivalent of my manual signature, as if actually signed by me in writing and I hereby consent to be legally bound by the Terms and Conditions listed above.*

Parent/Guardian 2 Signature Clear
By signing this Agreement electronically, I agree that my electronic signature is the legal equivalent of my manual signature, as if actually signed by me in writing and I hereby consent to be legally bound by the Terms and Conditions listed above.

Parent/Guardian 2 Signature Clear

Tuition Information

For your reference ONLY

2023-2024 Tuition and Fees -

SMART (Blackbaud) Tuition - New Enrollmment

Installment Plan (June 2023-March 2024) $72.00 fee applies
Would you like to sign up for SMART (Blackbaud)Tuition?*

YesNo

Would you like to pay in full?

Please check this box if you would like to pay the tuition in full. The business office will send you an invoice upon receiving a completed enrollment application.
Phone Number*

Area CodePhone Number
Email*
example@example.com

THA Scholarship Program

Note: Scholarship Grant applies to students entering grades 1-8 only.
I/we wish to receive information about the The Hebrew Academy Scholarship Grant Program, based on family need.*

YesNo

Kids' Care Services

Annual contract and Kids' Care drop-in services are available.
Would you like to utilize Kids' Care Services?*

YesNo

Bus Services
The Hebrew Academy offers central stop bus service (not door to door) from the Toms River/Lakewood, Ocean County areas as well as Eatontown/West Long Branch/Ocean Twp., Monmouth County areas. Are you interested in obtaining information regarding bus service?*

YesNo

Bus Services
Student(s) Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Select an Area
Please Select One

Round TripOne Way (AM)One Way (PM)
Payment Terms & Policies

Your balance will be included as part of your monthly SMART (Blackbaud) Tuition payment. If you are paying in full for Bus Services, please send the payment to the Business Office.
By signing this Shore Bus Route Contract electronically, I agree that my electronic signature is the legal equivalent of my manual signature, as if actually signed by me in writing and I hereby consent to be legally bound by the Payment Terms and Policies listed on the previous page.

Clear

Transportation Reimbursement

You MAY be eligible
The New Jersey Department of Education submission date for the B6T (Application for Private School Transportation Reimbursement), for the 2023-2024 school year, must be filed with your home township by March 3, 2023.
Does your K-8th grade student(s) reside more than 2 miles but less than 20 miles from The Hebrew Academy?*

YesNo
ADDITIONAL INFORMATION

Whether your child will be using private bus service or will be transported to school by car, every student in grades K – 8, is entitled to a transportation reimbursement for attending a private school and not using state funded busing.

The only exceptions are for those students living more than 20 miles or less than 2 miles from the school, and for those Kindergarten students that do not make the cut-off in their home districts. The 2022-2023 reimbursement was $1,022.00 per student.

Synagogue Affiliation
We consider our family:*

ConservativeReformTraditionalOrthodoxChabad
Membership*
We attend:*
Synagogue Name - If you do not attend Synagogue please write in None.

Annual Travel Permission Form
This permission form will apply to all school trips for the current school year. Prior to each trip, you will receive a Trip Information Form which you do not have to sign or return to the office unless you do not wish your child to go on that particular trip. This Travel Permission Form will be used only for the current school year.

I give permission to The Hebrew Academy to transport my child/children on school trips during the current school year. I understand that I will receive a Trip Information Form prior to each trip.
By signing this electronically, I agree that my electronic signature is the legal equivalent of my manual signature, as if actually signed by me in writing.*

Parent/Guardian Signature Clear

Annual Photo, Student Work & Social Media Permission Form
The Hebrew Academy is well known in the surrounding communities. We owe this to an organized promotional program as well as to our reputation as an excellent school. The promotional program often includes media coverage, including articles, photographs, and on our The Hebrew Academy website. In addition, we now publish school videos on a secure YouTube Video site. From time-to-time the school may wish to publish examples of student projects, photographs of students, and other work on the Internet. PLEASE NOTE: We will only select students who have a signed this release form (YES). If you do not want your child’s name, photo or quote published, please check (NO). The form will be valid for the school year only.
Permission*

Yes, I give permission to The Hebrew Academy to release photographs, videos, and quotes of my child/children for publication (in print, electronic, and video, including Facebook) during the school year:No, I do not give permission to The Hebrew Academy to release photographs, videos, and quotes of my child/children for publication (in print, electronic, and video, including Facebook) during the school year.
By signing this electronically, I agree that my electronic signature is the legal equivalent of my manual signature, as if actually signed by me in writing.*

Parent/Guardian Signature Clear

Release of Records Request

To Parents/Guardians of Applying Students: Please fill in the required information below, sign, and submit to The Hebrew Academy Admissions Office.
Name of Current School
Principal
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I request that the school record for my child be forwarded to the The Hebrew Academy, for the purpose of admission review and academic placement. I also understand that this release will allow The Hebrew Academy to contact teachers or other professionals, as needed, from the applicant’s current school.
Child's Name

First NameLast Name
Child's Grade
Parent/Guardian Name

First NameLast Name
By signing this electronically, I agree that my electronic signature is the legal equivalent of my manual signature, as if actually signed by me in writing.*

Parent/Guardian Signature Clear
To the School Official: This student has applied for admission to our school.

Thank you in advance for submitting the following information:
1. Transcript of academic record or report cards, including courses taken and grades received
2. Attendance Records
3. Results of standardized achievement and/or aptitude tests
4. Copies of learning and/or psychological evaluations, i.e., Child Study Team evaluations.
5. Copies of health records and medical forms
6. Completed Teacher Evaluation form found at this link (feel free to share it with any teachers needing to fill it out) https://form.jotform.com/193424790823160
Please send all information to:

The Hebrew Academy

P.O. Box 203, Marlboro, NJ 07746, ATTENTION: ADMISSIONS

Application for Admission
We understand that if any information has been withheld or falsified, The Hebrew Academy reserves the right to deny admission or discontinue serving my/our child. If accepted, I/we agree to abide by school policies and policies.
By signing this Application for Admission electronically, I/we agree that my electronic signature is the legal equivalent of my manual signature, as if actually signed by me in writing and I hereby certify that the information herein is true and reliable. *

Parent/Guardian Signature Clear

Payment

FINAL Enrollment Step
2023-2024 Early Action Discounts, Scholarship Grants, and Enrollment Deadlines

March 27, 2023 Early Action Discounts:
- Transition, Nursery, and Pre-K:
  - Apply by 3/27/23 and receive a 20% Early Action Discount for All Full-Time Students
- Kindergarten:
  - Apply by 3/27/23 and receive a 15% Early Action Discount for All Full-Time Students
- Grades 1 - 8:
  - Apply by 3/27/23 and receive an Early Action Discount
Priority Enrollment For Returning Students and Siblings ends on March 15, 2023, at which time review of New Student Applications will begin.
- It is expected that the number of applications will exceed available spaces in certain grades; therefore, in order to secure enrollment, please adhere to all applicable deadlines.
Scholarship Grant Application March 15, 2023 Deadline:
- If applying for a Scholarship Grant, the completed enrollment and grant applications are required to be submitted by March 15, 2023. No grant applications will be reviewed until the enrollment contract, and $400 deposit are received.
- Scholarship Grant Applications are reviewed in the order in which they are received.
- Your 2022 Federal Tax Return is not required at this time if not yet filed; however, the submission of your 2020 and 2021 federal returns are required. If your 2022 Federal Tax Return is filed, then submit only your 2021 and 2022 Federal Tax Returns.
Please Note:

In all cases, deposits are credited against tuition.

TUITION PAYMENT OPTIONS:

A. PAY IN FULL by May 15, 2023, and receive a $200 pre-payment discount for each full-paying student in Toddler, Transition, Nursery, Pre-K, & K and a $300 pre-payment discount for each full-paying student in grades 1-8 . Payment may be by check or credit card; please note, however, that a 3.0% convenience fee will be imposed for use of a credit card.

B. Pay monthly by enrolling in the Blackbaud Tuition Management Program (formerly SMART Tuition), our interest-free tuition management company. All families who do not prepay are required to enroll in the program. A $72 Blackbaud fee will be added to your tuition invoice. Tuition payments will be automatically deducted from your bank account on a monthly basis. If paid by credit card, Blackbaud will add an additional monthly convenience fee of 2.98% to each payment.

The Blackbaud Tuition Management Program payment schedule for the 2023-2024 school year is as follows:
- Your 10 monthly payments will begin in June 2023 and end March 2024. You may choose from the following monthly payment date that best fits your budget, either the 10th, 20th, or 30th, of the month.
IN ALL CASES, DEPOSITS WILL BE CREDITED AGAINST TUITION BILLS.
- Full deposit of $1000 (Current Students)
- Full deposits of $1050 (New Students)
- If paying by credit card, a 3% convenience fee will be added to your full deposit (Deposit of $1030 for Current Students and $1082 for New Students).
You will have the choice of paying in full (and receiving the full payment discount), or enrolling in the Blackbaud Tuition Management program.
You may pay your deposit and additional fees by credit card or your Bank Account (e-Check).

There is an additional 3% added to payments made by Credit Card.

If you choose to pay with your Bank Account please use the Discount Code THA2023 to remove the additional credit card fees.

Your total amount due is listed below. When you select the Pay Now button you will be re-directed to a secure site to submit your payment.
ACH (e-Check) Totals
Credit Card Totals
Deposit
Total Amount due if paying by e-Check
Deposit
Total Amount due if paying by Credit Card
Kids' Care
Total Amount due if paying by e-Check
Kids' Care
Total Amount due if paying by Credit Card
Student Account
Total Amount due if paying by e-Check
Student Account
Total Amount due if paying by Credit Card
Total Amount Due
Total Amount due if paying by e-Check
Total Amount Due
Total Amount due if paying by Credit Card
If you run into any technical issues while filling out this form please Click Here and provide a brief description of the problem and/or a screen shot. Thank you!
Checkout Options Mandatory for Registration:
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Enrollment Deposit$1,082.00

Kids' Care Contract Deposit$103.00

Financial Aid Deposit$412.00

Total $0.00
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2023-2024 New Student Application and Enrollment Contract

Parent/Guardian Information

Parent/Guardian Information

Student Information

Student Educational Information

Student Medical Information

Student Background Information

Family/Special People Information (Optional)

Terms & Conditions

Tuition Information

SMART (Blackbaud) Tuition - New Enrollmment

THA Scholarship Program

Kids' Care Services

Kids' Care Annual Contract

Bus Services

Bus Services

Transportation Reimbursement

Synagogue Affiliation

Annual Travel Permission Form

Annual Photo, Student Work & Social Media Permission Form

Release of Records Request

Application for Admission

Payment