ITA Application Form

I attest that my family adheres to Orthodox Jewish practices, including Shabbat and kashrut observance. We maintain a Torah-centered home and are committed to providing a learning environment that upholds Jewish values.

Parent's/Guardian's First and Last Name:

Parent's/Guardian's Phone Number:

Parent's/Guardian's Email Address:

Family Residential/Mailing Address:

SUPERVISING RABBI NAME/CONTACT PHONE NUMBER AND EMAIL DRESS/BET KNESET AFFILIATION:

Who will be the primary educator at home?

Does the primary educator work full-time outside the house?

Yes

No

If Yes, stop here. At ITA, we require at least one supervising adult who stays at home with chidren.

If primary educator works full-time from home, will he/she have at least 3-4 hours a day to be invoved in child's education?

Yes

No

If answered "No," explain.

Student's First and Last Name (For multiple children, list names with dates of birth next to their names):

CITIZENSHIP STATUS:

US Citizen

Green Card Holder

US Temporary Visa Holder

US Citizen Living Abroad

Citizen of Another Country. If Chosen, please, list the name of the country below and other visas held:

List the name of the country:

How do you plan to pay for your child's tuition (between $1,548 to $8,000 per year) ?

State Funding (Florida PEP, Arizona ESA, South Carolina, New York, Utah, North Carolina ESA+, New Hampshire, Arkansas)

Self-Pay

Has the primary educator experienced and/or has been diagnozed with depression in the past year?

Yes

No

Has any of the parents been convicted of any crime?

Yes

No

If answered, "Yes," explain here:

Please, describe your home environment and how it supports your child’s homeschooling experience:

Do you have dedicated non-disruptive space for learning, a printer, toner, printer paper, daily access to Internet, computer/Ipad, email?

Yes

No

How do you ensure that your home environment aligns with Torah values?

Your Child's Previous School Name (if applicable):

Reason for leaving the school:

Do you currently owe any unpaid tuition to your previous school?

Yes

No

If answered "Yes," explain:

Has your child/children been homeschooled before?

Yes

No

If answered "Yes," please,

CHILD'S INTERESTS, TALENTS, AND LEARNING STYLE (If Applying for multiple children, use this format: Rivka (loves visual leaaarning, amazing piano player, etc)., Dovy (great a whittlling, loves marine biology, audio learner):

Are there any specific subjects or activities your child particularly enjoys? (For multiple children use previously suggested format):

Does your child/Do your children have any specific learning needs or preferences?

Are you interested in:

Online Classes

Self-Learning Module

ITA In-House Printed Curriculum

Hybrid (a combination of online, in-person (where avaialble), self-learning.

In-Person Learning Pods (if available)

Is the family environment free from substance abuse?

Yes

No

If answered "No," please, explain:

What values are most important to your family, and how do you incorporate them into your daily life?

Are you frum from birth, baaleh teshuvah, or have you converted in accordance with Orthodox Jewish minhag (custom)?

How does your family uphold modesty in dress and behavior in alignment with halachic standards?

Do you have access to tutors or additional educational support if needed? Please, specify.

Would you be interested in our Standardized Testing Program (Terra Nova)? We offer pen and paper as well as online version and administer our tests in the Spring (For students 4th grade and up).

Yes

No

We have not decided yet