New Families Park Hebrew Exploratory Application

Thank you for interest in Park Hebrew. We are currently accepting application forms for the 2024-25 school year.

1. Fill out the exploratory application form. We'd love to get to know about your child and their needs.
2. Once your form is received, we will review your application and be in touch within 48 hours to schedule an exploratory phone call. (Filling out application does not guarantee a spot)
Household Name*
Primary E-mail

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Mother/ Parent #1 Information
Name*

First Name Last Name
Cell Phone*

Area Code Phone Number
Email*
Is the natural mother of the child born Jewish?*
Father/ Parent #2 Information
Name*

First Name Last Name
Cell Phone*

Area Code Phone Number
Email*
Is Parent #2 Jewish?*
Child #1 Information
Child's Name*

First Name Last Name
Hebrew Name*
Birth Date*

Month Day Year
School your child attends*
Grade entering*
Previous Jewish Education*
Hebrew Reading Proficiency

None -my child cannot yet read HebrewSome - my child can read a bit of HebrewWell - My child can fluently read Hebrew
Child #2 Information
Child's Name

First Name Last Name
Hebrew Name
Birth Date

Month Day Year
School your child attends
Grade entering
Previous Jewish Education
Hebrew Reading Proficiency

None -my child cannot yet read HebrewSome - my child can read a bit of HebrewWell - My child can fluently read Hebrew
General Information
Are there any adoptions or religious conversions in the family ( Ex: parents, grandparent, child)?*
If you answered yes to the above, please indicate who is adopted or converted and by which Beit Din*
* Kindly take note that Park Hebrew operates as a Bar & Bat Mitzvah preparation program, and as such, it adheres to the conversion policies of the Chicago Rabbinical Council office and the Chief Rabbinicate of Israel, which are applicable to officiated Jewish lifecycle ceremonies.
Is there anything else you'd like us to know about your child/children?
Next steps
Hang tight! We will be reaching out shortly to schedule an exploratory phone call.
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Mother/ Parent #1 Information

Father/ Parent #2 Information

Child #1 Information

Child #2 Information

General Information

Next steps