Venue : Not fixed yet ! Grade 9 Application Form Grade 9 Application Form Applications are due by Friday, January 13, 2023 at 4:00 pm Applicant InformationLast Name Legal Given Name Hebrew Given Name Preferred First Name Place of Birth Date of Birth MM slash DD slash YYYY Parent InformationFather's Last Name Father's Title Mother's Last Name (if different) Mother's Title Father's First Name Mother's First Name Home Address Mother's Home Address (if different) Home Telephone Mother's Home Telephone (if different) Father's Occupation Mother's Occupation Father's Cell Phone Mother's Cell Phone Father's Email Address Mother's Email Address Marital StatusMarriedSeparatedRemarriedDivorcedWidowedIf divorced/separated, custody is awarded to:FatherMotherJointReferencesCurrent Limudai Kodesh Rebbe(Required) Rebbe's Email Address(Required) Current General Studies Teacher(Required) Teacher's Email Address(Required) The above references will be asked to complete confidential written evaluations of the applicant.Synagogue/Religious AffiliationTo what Synagogue does your family belong? Who is your family’s Rabbi? Applicant’s SiblingsName Age School Grade Name Age School Grade Name Age School Grade Name Age School Grade Camps Applicant AttendedCamp Years Camp Years Camp Years Camp Years Camp Years Camp Years Heath Questionnaire - To Be Completed by ParentsIs your son presently under the care of a health-care professional (e.g., physician, orthodontist, psychiatrist, psychologist, physical therapist)? If yes, for what condition? Does your son currently take any medication? If yes, what is the drug and what are the supervision requirements? Has your son experienced learning/behavior difficulties? Has he ever been assessed for ADD/ADHD or learning disabilities? If yes, attach any written reports you may have. You can attach files below or send any reports to [email protected]FileMax. file size: 100 MB.FileMax. file size: 100 MB.FileMax. file size: 100 MB.Has your son required medication in the past for behavior or learning problems (e.g. ADHD)? If yes, please explain.Has your son received any of the following services – either privately or in school – within the past three years: speech or language therapy, occupational therapy, physical therapy, psychological services, or special education intervention?AttachmentsTo complete the application, you must submit the files listed below. You may scan these items and submit them as file attachments.A photograph of the applicant.(Required)Max. file size: 100 MB.Transcripts from Grade 6(Required)Max. file size: 100 MB.Max. file size: 100 MB.Max. file size: 100 MB.Transcripts from Grade 7(Required)Max. file size: 100 MB.Max. file size: 100 MB.Max. file size: 100 MB.An essay of approximately 250 words in which you tell us about yourself and respond to the questions below.(Required)What are your greatest strengths and weaknesses? What challenges to you anticipate facing in high school? What are your educational and career goals after high school? The essay must be handwritten, typed or printed essays will not be considered.Max. file size: 100 MB.Parent-Student StatementConsent(Required) We agree to the statement below.We certify that this application and attachments are complete and true to the best of our knowledge. We understand that providing incomplete or false information on this application may be grounds for its rejection. We understand that attendance at Yeshiva Darchei Torah is conditional on participation in all mandatory Yeshiva programs (including trips and Shabbos / Yom Tov programs), as well as compliance with school rules and standards as specified in the Yeshiva Handbook. We understand that attendance at Yeshiva Darchei Torah is also conditional on conduct befitting a Ben Torah both on and off school grounds at all times, and that students will be denied admission for participation in organizations and activities inconsistent with this ideal (e.g., attending co-ed summer camp). By submitting this application, we give permission to Yeshiva Darchei Torah to view student files including the Ontario Student Record (OSR) of the applicant and to confer with faculty members of my son’s current school for the purpose of evaluating this application. We also give permission to the faculty members of my son’s current school to complete confidential written assessments of the applicant. We consent to the use of this information for the purpose of evaluating this application. By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application. Applicant First Last Father First Last Mother First Last Date MM slash DD slash YYYY Email Address(Required) Enter Email Confirm Email Δ
