Friendship Circle Hebrew School Inquiry Form

The FC Hebrew School is being developed to provide a Hebrew and Judaic education for children with
special needs. Teachers will focus on engaging the child’s sense of Jewish identity through exciting,
hands-on learning.

Each student will learn at their own pace with individualized curriculum's. No previous Judaic instruction necessary, teachers will design curricula to meet each student’s current level and learning style.

Please fill out the form below to begin the application process

Student's Information
Name* First/Last

Gender

Male Female

Age

Parent's Information

Mother's Name*First/Last

Mother's Maiden Name*

Father's NameFirst/Last
Address*Is the natural mother of the child Jewish? Yes No
Were there any conversions or adoptions in the family? Yes No
Please give details of the conversion/adoption

Once this form has been processed, you will receive an email with information for a follow up meeting for registration and intake.

Thank you