STAR - Yeshiva Info Registration Form:
 Helping you find a quality school for your child

If you have a child in public school and would like help in
placing your child in a quality Jewish private school, please fill out the form
below and you will be contacted by one of our school placement & educational professionals.
 

Name of Parent(s)
Marital Status
Name of Child #1
Date of Birth (Child #1)
Grade Entering (Child #1)
Name of Child #2
Date of Birth (Child#2)
Grade Entering (Child #2)
Street Address Apartment
City
State  
Zip Code
Phone   (day) () -
Phone   (night) () -
Pager / Cellular Phone () -
E-mail Address
Occupation (Father)
Place of Work (Father)
Occupation (Mother)
Place of Work (Mother)
School Child Last Attended
How Much Tuition Can you Afford to Pay?
Date Arrived in U.S.A.

List Any Schools that You Tried for Already

 
Which Synagogue do you go to?
Who is your rabbi?
Would you describe yourself as: Dati/Shomer Shabbat Mesorati/Traditional
Chiloni/Secular Unaffiliated I Don't Know
How did you hear about us?
Do you have friends who would like help getting into a good school? Who?
What languages do you understand well? English Russian Persian Bukharian
Hebrew Other:

Other Remarks/Comments