Sign In Forgot Password

Hebrew School Student Profile 2021-2022

CONFIDENTIAL STUDENT PROFILE ‐‐ SCHOOL YEAR 2021‐2022 
*This form will be used for educational planning purposes only. Content will be viewed only by relevant educational staff and/or providers of direct or indirect educational services.

The CSAIR Marsha Dane Stern Hebrew School is committed to providing a quality Jewish education to every student, regardless of learning style or special learning needs. Please answer the questions below to help us create learning experiences that best fit the needs of each of our learners.
ACADEMIC BACKGROUND
Please fill out a form for each child attending the Marsha Dane Stern Hebrew School.
*Please provide a copy of the IEP and/or 504 plan.
RELATED SERVICES
1. How long has your child received counseling?
2. For what purpose was your child receiving counseling?
Please include Contact Name, Phone and Email.
Please share any additional information or comments that may provide our staff with further insight into
your child’s personality and character and help us provide a successful experience for your child:
RELATED SERVICES
1. How long has your child received counseling?
2. For what purpose was your child receiving counseling?
Please include Contact Name, Phone and Email.
Please share any additional information or comments that may provide our staff with further insight into
your child’s personality and character and help us provide a successful experience for your child:
*Please provide a copy of the IEP and/or 504 plan.
RELATED SERVICES
1. How long has your child received counseling?
2. For what purpose was your child receiving counseling?
Please include Contact Name, Phone and Email.
Please share any additional information or comments that may provide our staff with further insight into
your child’s personality and character and help us provide a successful experience for your child:
*Please provide a copy of the IEP and/or 504 plan.
RELATED SERVICES

1. How long has your child received counseling?
2. For what purpose was your child receiving counseling?
Please include Contact Name, Phone and Email.
Please share any additional information or comments that may provide our staff with further insight into
your child’s personality and character and help us provide a successful experience for your child:
Fri, March 29 2024 19 Adar II 5784