General Family Information Form

General Family Information

You may begin the application process by filling out the General Family Information form below. Please see the application checklist to know what other materials and steps are required in order to complete the application process. All other application materials can be downloaded on the Denver Jewish Day School Web site. Upon completion of this form, please send in your payment of the $100 nonrefundable application fee. Payment by check may be sent to:

Denver Jewish Day School
Office of Admission
2450 S. Wabash Street
Denver, CO 80231

Name of Student:

Last

First

Middle

Nickname

Preferred Name

Hebrew Name

Application for Grade

School Year Beginning

Male
Female

Address

Street AddressAddress Line 2CityStateZip Code

Date of Birth

Place of Birth

Planned Bar/Bat Mitzvah Date

Check here if date is not set.

(Please inform our office of any changes.)

Family Information

Parent/Guardian A

Full Name

FirstLast

Home Address

Street AddressAddress Line 2CityStateZip Code

Home Phone

Cell Phone

Preferred Email Address

Occupation

Parent/Guardian B

Full Name

FirstLast

Home Address

Street AddressAddress Line 2CityStateZip Code

Home Phone

Cell Phone

Preferred Email Address

Occupation

Do both of the above reside with the student?

Yes
No

If no, please explain special circumstances:

How did you learn about Denver Jewish Day School?

Please list below all brothers, sisters, and other persons under 21 years of age living in your home(s):

Please include name, birthdate, gender, school, grade, and relationship to applicant.

Applicant's Academic Information

Current School

Current School's Phone Number

Grade

Years Attended

Please list all previous schools attended by the student:

Please include school name, address, grade(s) and years attended.

Please list all religious schools attended by the student:

Please include school name, address, grade(s) and years attended.

Are you affiliated with a congregation?

Yes
No

If yes, please give the name:

Is at least one parent/guardian Jewish?

Yes
No

Does your family consider itself:

Have any of your family members attended Denver Jewish Day School (formerly Herzl/RMHA at the Denver Campus)?

Yes
No

If yes, please explain:

Tuition Assistance

Our confidential, need-based tuition assistance program is open to all current and potential parents for whom the full tuition expense would prove a financial hardship. Recipients include young professionals, single parents, families with multiple children enrolled, and others with special circumstances.

We encourage you to apply for financial assistance if you have concerns about affordability. We want you and your child(ren) to be a part of an exciting Jewish future.

Do you wish to apply for tuition assistance?

Yes
No

If yes, a tuition assistance application and information will be sent to you separately. Families who wish to apply for tuition assistance will be required to complete a tuition assistance application from the School and Student Services for Financial Aid and submit a copy of the current year’s tax return and W-2s to Denver Jewish Day School.

Correspondence

Send all bills and financial statements to:

Name

FirstLast

Address

Street AddressCityStateZip Code

Send all school correspondence to:

Name

FirstLast

Address

Street AddressCityStateZip Code

If any educational or psychological testing of my child is requested by Denver Jewish Day School during the admission process, it will be the responsibility of the parent or legal guardian to pay the cost of such testing.

I agree

Yes
No

Date

General Family Information Form