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Request Information
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Thank you for your interest in Hillel Day School. We are excited to have you learn about our school. Please complete the following form to receive information about our application process and upcoming events. If you have questions, please do not hesitate to contact Arielle Endelman, Admission Associate, at aendelman@hillelday.org.
Student Information
*First Name
Middle Name
*Last Name
Nickname
*Gender
Male
Femaile
*Birthdate
mm/dd/yyyy
*Street Address
*City, State, Zip
*Country
*Home Phone
*With whom does student reside?
Both parents
Mother
Father
Other
*Family Synagogue/Temple Affiliation
Proposed Entry to Hillel Day School
*Grade
*School Year
Current School Information
Grade
School Name
School City & State
Family Information (for household in which the student primarily resides)
Parent/Guardian #1 Information
*Relationship to applicant
*Title
(Mr. Mrs., Ms. etc.)
*First Name
Middle Name
*Last Name
*Email Address
Cell Phone
*Hillel Day School Alumnus/a
Yes
No
*Current or Former Hillel Parent
Yes
No
Parent/Guardian #2 Information
*Relationship to applicant
*Title
(Mr. Mrs., Ms. etc.)
*First Name
Middle Name
*Last Name
*Email Address
Cell Phone
*Hillel Day School Alumnus/a
Yes
No
*Current or Former Hillel Parent
Yes
No
Additional Information
How did you first learn about Hillel?
List any relatives who have attended or are attending Hillel. Please include year(s) of graduation and maiden name(s) if applicable.
Is there anything you would like to share with the Admission Committee? (Questions, comments, etc.)
Thank you for requesting information about Hillel Day School. If you have any questions about the application process, please feel free to contact Amy Schlussel at the contact information at the top of this form. Click "Submit" to complete the form.
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Hillel Day School of Metropolitan Detroit
32200 Middlebelt Road | Farmington Hills, MI 48334
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