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Application Instructions
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Student Information
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Family Information
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Sibling Information
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Grandparent Information
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Family Information
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How Did You Learn About MHA?
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Jewish Information
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Previous School Information
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Release of Records Form
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Applicant Checklist
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Student Information
Tzophia Kaplan
Student Legal First Name
Student Middle Name
Student Last Name
Student Full Hebrew Name
Student Preferred First Name
Date of Birth
Hebrew Date of Birth (Hebrew Month, Day)
Place of Birth
Student Gender
Male
Female
Current School
Current Grade
Prek-2
Prek-3
Prek-4
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
Student Cell Number
Name of Person Completing Application
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