Request an Application - Yeshivat Shalshelet

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STUDENT INFO

Student's Full Name(*)

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Date of Birth(*)

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Current Grade(*)

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Grade Inquiring About(*)

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Current School(*)

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PARENT INFO

Parent's Full Name(*)

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Home Address(*)

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Email Address(*)

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Phone(*)

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Briefly describe your child’s current strengths and challenges in school. (*)

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How did you hear about Yeshivat Shalshelet ? (*)

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Questions or Comments

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