Request Information

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.

*First Name

Middle Name

*Last Name

Nickname

*Gender

*Birthdate

mm/dd/yyyy

*Street Address

*City, State, Zip

*Country

*Home Phone

*With whom does student reside?

*Family Synagogue/Temple Affiliation

*Grade

*School Year

Grade

School Name

School City & State

*Relationship to applicant

*Title

(Mr. Mrs., Ms. etc.)

*First Name

Middle Name

*Last Name

*Email Address

Cell Phone

*Hillel Day School Alumnus/a

*Current or Former Hillel Parent

*Relationship to applicant

*Title

(Mr. Mrs., Ms. etc.)

*First Name

Middle Name

*Last Name

*Email Address

Cell Phone

*Hillel Day School Alumnus/a

*Current or Former Hillel Parent

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.