Student Application

GOSHEN HEBREW ACADEMY @ TEMPLE KEFRYM

PO.BOX 528 SPARTA, GEORGIA 31087

CO-Founder / Principal Princess MdaiYah 470-898-9809

goshenhebrewacadtemplekefar@gmail.com
Student Information
Student Name
Gender

MaleFemale
Date of Birth

MonthDayYear
Date
Address

Residing Address

Street Address Line 2

Street City SateState / Province

Postal / Zip Code
Spiritual Affiliation/Leader
Student Education Goals:

UniversityCommunity CollegeTrade SchoolApprenticeship/InternshipStudy AbroadEmploymentEntrepreneurship
Additional Details about Your Educational and Career Goals (school name, job, or business ideas)
Students Favorite Past time
Who Does Student spend most of their free time with and how many hours in a week
Students: 2 Short Term Goals
Students: 2 Long Term Goals
(Parents assist elementary students)
Current Academic Grade on Record
Students Favorite Core Subject
Students Favorite Special Subject
Current After School Sport or Activity
Musical instrument played by student
Parental Information
Fathers Name
Home Address
Phone
Email
example@example.com
Mothers Name
Home Address
Phone
Email
example@example.com
Spiritual Affiliation/Leader
Tuition
Goshen Hebrew Academy is private school for the yeledeem of the Nation of Yisrael and Community Abroad. There are cost with running our program which include but are not limited to: paying the educators, educational platforms, laptops, curriculum shipments, projects, educational excursions and Community Based Instruction. There is also the cost of uniforms that will be mandatory for all students (in-person and virtual). Not that financial status will keep a student from being admitted however, there is a 400.00-dollar tuition per month per student with a 20% discount for the 2 and a 10% discount for the 3 of the same household.
School Uniforms
Uniforms will be as follows: young ladies where royal purple tops and young men wear royal blue tops and all wear black, grey or khaki bottoms (young ladies preferred to wear knee length or longer skirts Scholars foot attire must be closed toed and heal, except during events that may requires dress apparel. Head wraps, turbans, beanies, kufis, kippoth, yamakote are strongly encouraged. We will provide the shirts at a cost of $20 each, it will come with the school emblem pressed on. An order form will also be sent to you.
Student Size
How many uniform shirts per student?
Name of person filling out applications
Signature

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	MONTH	FROM DAY	TO DAY
PASSOVER
UNLEAVENED BREAD DAY 1
UNLEAVENED BREAD DAY 7
FEAST OF WEEKS
TRUMPETS
ATONEMENT
TABERNACLES DAY 1
TABERNACLES DAY 8

Student Information

Parental Information

Tuition

School Uniforms