New Submissions

Lakewood Vaad Application Form

To ensure we can assist, we require every family in need of a school to fill out the form linked below. Please fill out one form per child. Only parents may complete this form to prevent errors or duplicates. Once your information is submitted, the Vaad will begin working on your case.
Child Information
Child's first name*
Family Name*
Child’s DOB*

MonthDayYear
Date
Applying for?*
What grade are you applying for? *
What grade are you applying for? *
What grade are you applying for?*
Parents/family Information
Father's name*
Father’s Occupation*
Family Shul*
Family Rav*
Rav Phone Number*
Please enter a valid phone number.
Mother’s name*
Mother’s maiden Name*
Current address*
City*
Please specify*
Mother’s Occupation (if any)
Current/Previous Playgroup/School Information
Current/Previous Playgroup Morah's Name*
Current/Previous Playgroup Phone Number*
Please enter a valid phone number.
Additional Playgroup Morah's Name (if any)
Additional Playgroup Morah's Phone Number (if any)?
Please enter a valid phone number.
School child previously attended: (if any)
Boys: School that siblings attend: (if any)
Girls: School that siblings attend: (if any)
Schools you applied to
How many Schools did you apply to?*
1. Boys - Elementary School*
1. Girls - High School*
1. Girls - Elementary School*
1. What was their Response?*
2. Boys - Elementary School
2. Girls - High School
2. Girls - Elementary School
2. What was their Response?
3. Boys - Elementary School
3. Girls - High School
3. Girls - Elementary School
3. What was their Response?
4. Boys - Elementary School
4. Girls - High School
4. Girls - Elementary School
4. What was their Response?
5. Boys - Elementary School
5. Girls - High School
5. Girls - Elementary School
5. What was their Response?
6. Boys - Elementary School
6. Girls - High School
6. Girls - Elementary School
6. What was their Response?
Has your child been accepted by any school?*
Please explain.
Parents Information
Paternal grandparents’ full name*
City father grew up in*
Maternal grandparents’ full name*
City mother grew up in*
Contact Information
Primary Email to contact you at*
example@example.com
Father’s Cell #*
Please enter a valid phone number.
Mother’s Cell #*
Please enter a valid phone number.
References
How many family references would you like to provide?*
1. Name
1. Phone Number
Please enter a valid phone number.
1. Relationship
2. Name
2. Phone Number
Please enter a valid phone number.
2. Relationship
3. Name
3. Phone Number
Please enter a valid phone number.
3. Relationship
Family Background
What describes your family best?*

HeimishChassidishYeshivishLitvishOther
Please Explain*
Additional Information
If special assistance is needed, please specify.
Anything else we should know?
Who is filling out this form?*
Other: Please Explain *
Should be Empty:

Lakewood Vaad Application Form

Child Information

Parents/family Information

Current/Previous Playgroup/School Information

Schools you applied to

Parents Information

Contact Information

References

Family Background

Additional Information