Academic - Hebrew Academy Community Day School

School Address

School Phone Number
Educational Assessment
How would you describe your child's personality
In what areas does your child excel
Describe the educational environment you are looking for your daughter
What would you like us to know about your daughter
What are your expectations of BRLHS as it relates to your child
How would you describe your child's academic performance
Does your child have any special interests/talents in music, art, althletics or other
Has your child ever received academic support or tutoring outside the school setting

YesNo
What was the reason
Describe any special requirements that your child may have (medication, allergies, dietary restrictions, etc.)
Has a previous school recommended that your child receive

Occupational TherapySpeech TherapyEducational TherapyEducational Evaluation (i.e. IEP Assessment)
Please provide 3 teachers in the past year as a reference
Name of Teacher #1
First Name Last Name
Phone Number of Teacher #1
Name of Teacher/Reference
First Name Last Name
Phone Number of Reference #2
Name of Teacher/Reference #3
First Name Last Name
Phone Number of Teacher/Reference
Please provide recent report card transcript here:
Please provide recent report card transcript here:
Should be Empty:

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Educational Assessment