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We are currently accepting Applications for the coming school year. Please fill out ALL fields of this form.
If you have any questions or concerns you'd like to discuss, please contact us at admissions@hebrewacademytampabay.org.
Please note that one Application Form per child is needed.

CLICK HERE to Download a Fillable PDF Version of the Application Form.

Please provide the following information about your CHILD:
 
Child's name     Date of birth

First Name
Last Name
Hebrew Name
DD/MM/YYYY
       
Address      

Street Address
City


Postal / Zip Code
       
Phone Number     Extended Care Needed   Summer Only

Cell Phone
Home Phone		   School Year (10 month)   Year-Round Program (12 month)

How Did you hear about our School? 

Does your child have an IEP, 504 plan or any special needs that the school should be aware of to prepare for a successful educational experience. If so, please describe below.
 

What are your child’s most pronounced interests?
 

Please provide the following information about your child’s previous school & education history:
 
Previous School Name School Phone
Address  

Street Address
City


Postal / Zip Code
 
Hebrew Language Education & Level (Describe):

 

Please provide the following information about your family:
For Father
     
       
Name      

First Name
Last Name		  
Cell Phone Number		  
       
Email

Occupation

   
       
Home Address      

Street Address
City


Postal / Zip Code
       
For Mother
     
       
Name      

First Name
Last Name		  
Cell Phone Number		  
       
Email

Occupation

   
       
Home Address      

Street Address
City


Postal / Zip Code
       
       

  Application Fee:

Credit Card Number Expiration Date
Security Code Charge Amount 
 $54.00 Non-refundable (SY) 
Name on Card  * If camp only, the $54 fee is applied to camp tuition
First Name Last Name
 

I understand that the non-refundable $54 application fee is not a guarantee of acceptance to HATB. Each application will be reviewed in conjunction with prior school reports and an in person interview to determine best fit..
   
Parent/ Guardian Name

Date

Full Name
DD/MM/YYYY
   
Parent/Guardian Name

Date

Full Name

DD/MM/YYYY
   

At Hebrew Academy Tampa Bay, we have a sincere interest in meeting the needs of every child. Upon receiving your completed Application Form, an interview for you and your child will be arranged at your convenience.