Inquiry Form


Welcome to Harkham Hillel Hebrew Academy!
Thank you for your interest in Harkham Hillel Hebrew Academy. We are thrilled that you are looking into our school for your child(ren)! Our Admissions Department will reach out to you shortly. In the meantime, please enjoy our website which offers a preview of what Hillel is all about. We look forward to meeting you soon.

Year of Interest
What school year are you interested in? *

Student
Student Name (First and Last Name) *

Grade applying for *
Birthday (month/day/year) *

Current school child is attending *

All previous schools child has attended

Has your child ever been educationally evaluated (including gifted and talented), had emotional, social, or behavioral issues that required professional help, accommodations and/or is receiving any support services? Please attach all relevant test results and recommendations with this application *

Please upload all files here.

Parent Information
Father Title *
Father First Name *
Father Last Name *

Father Cell *
Home Phone *
Marital Status *

Street Address *

City *
State *
Zip Code *

Father Email *

Mother Title *
Mother First Name *
Mother Last Name *

Mother Cell *
Mother Email *

Additional Information
How did you hear about Hillel? *

Synagogue *

Why are you considering Hillel for your child(ren)?

Additional information you would like us to know

Thank You
Thank you for requesting information regarding Harkham Hillel Hebrew Academy!

You're done! Once you submit and send your form, you won't be able to make any changes here.