בס"ד School Information and Application Package “MAKE THE CHOICE THAT MAKES THE DIFFERENCE” The Joe Dwek Ohr HaEmet Sephardic School 7026 Bathurst Street Thornhill, Ontario L4J 8K3 (905) 669-7653 Dear Parents, Thank you for your interest in The Joe Dwek Ohr HaEmet Sephardic School. Enclosed is your information package that will guide you in making the important decision on where to educate your child. To assure that our parents are committed to the values upon which our entire mission is founded we request each family to provide along with their application: Haham Amram Assayag 1) A signed Statement of Commitment to the Religious Standards of our School as outlined by our Rabbinic Council. This can be found in both English and Hebrew versions on pages 4-7 of this packet, and: 2) A letter of introduction/recommendation from their Rabbi or Rabbinic advisor indicating the following: Sarah Wasserman How long the Rabbi or Rabbinic advisor has known your family. Sara Cohen Victor Arrobas Edward Kholodenko Daniel Chai How often (Daily, Weekly, Holidays) your family participates in synagogue prayers/activities. The Rabbi’s knowledge of the family’s commitment to religious observance specifically regarding Shmirat Shabbat, Kashrut, etc. Why the Rabbi feels The JDOHSS would be important for your child’s education and spiritual growth. Thank you once again for your interest in the JDOHSS. We look forward to meeting you and your children and the opportunity to have you join those who have “made the choice that makes the difference” by welcoming you to The Joe Dwek Ohr HaEmet Sephardic School. Lev Mirlas Sincerely, David Azulay, CPA, CA Shlomo Assayag Michael Benarroch David A. Bitton Elie Mamann David Azulay, CPA, CA Jacques Benquesus Maurice Benzacar Ilana Arrobas Enny Cohen Rabbi Kamenetzky Menahel Mrs. Sarah Wasserman Principal Mrs. Sara Cohen Vice Principal THE JOE DWEK OHR HAEMET SEPHARDIC SCHOOL & EARLY YEARS ADMISSION PROCESS ADMISSION PROCESS THE ADMISSION PROCESS AT THE JOE DWEK OHR HAEMET INCLUDES THE FOLLOWING STEPS: 1. Application Form and Fee: An Application for Admission and a Rabbinical Recommendation letter must be completed and submitted to the School Office, together with an Application Fee of $200 per child. Applications received after March 31st will be charged a $300.00 application fee. **Pre-school applicants must fill out a Developmental History Form. 2. First Interview: After submitting all application requirements, potential parents will be contacted to schedule an individual interview with our Menahel. 3. Second Interview: Students in Grades 1 to 8 must also submit to an academic assessment by our General Studies and Hebrew Studies Principals and if necessary, the ISP Department. Additional information may be required at this time. 4. Letter of Status of Application: During the admission process, we liaise closely with applicants and their parents. Acceptance to JDOHSS is determined after considering various factors, including the best interests of the child and their family, and the school's guiding religious and educational principles. You will be notified in writing of our decision regarding your child's acceptance. If your child is not admitted for any reason, the $200 Application Fee will be refunded to you in its entirety. Should you have any questions regarding the admission process, please contact our Vice Principal, Mrs. Sara Cohen at 905-669-7653 Ext. 266 or our Office Manager, Mrs. Jana Cohen at 905-669-7653 Ext. 223. Pg. 1 Joe Dwek Ohr HaEmet Sephardic School Application for Admission 7026 Bathurst Street, Thornhill, Ontario, L4J 8K3 Tel: (905) 669-7653 Fax: (905) 669-5138 www.jdohss.org ‘Lighting the Way to a Brighter Future’ STUDENT INFORMATION: Date: _________________________ Applying for Grade: __________ School Year: ____________________ Last Name: _________________ _____Hebrew Last Name______________ שם המשפחה בעברית First Name: ______________________Hebrew First Name: ______________ שם הפרטי בעברית Date of Birth: (DD/MM/YYYY) __ ___/_ ____/_ ______ Hebrew Birthday __ ___ ______ M F Place of Birth: Hospital _______________________ City________________ Country ___________________ Home Address: ___________________________________________________________________________ City: ___________________________Postal Code: _______________ Phone: ________________________ PERSONAL INFORMATION: Are there any conversions ( (גרותin the family background? Yes No, If Yes please specify ____________ _______________________________________________________________________________________ Is this child adopted? Yes No If Yes, Officiating Rabbi: _________________________________________ Student’s Status in Canada: Citizen Permanent Resident Other_______________________________ Date of Arrival in Canada (if applicable):________________________________________________________ Language(s) spoken at home: _______________________________________________________________ What language does your child speak most comfortably? __________________________________________ SCHOOL HISTORY: Please list current and former schools/daycares your child has attended School Dates Attended Grade City/Country Has school been a positive experience for your child? Yes No, please describe: ____________________ ________________________________________________________________________________________ Has your child received any special services or remedial programming at school or in the community? Yes No, please describe:_____________________________________________________________________ ________________________________________________________________________________________ SIBLINGS’ PROFILE: Last Name First Name Age School Grade Student’s Name:____________________________________ Pg. 2 PARENT INFORMATION: Father: Mr. Dr. Rabbi Mother: Mrs. Ms. Dr. Name: Hebrew Name: Hebrew Name: Maiden Name: E-mail Address: Birthplace: In Canada Since: From which Country: Occupation: Employer: Mailing Address: Home phone: Work phone: Cell phone: Name of Synagogue you attend each Shabbat: Name of Current Rabbi: Current Rabbi Phone Number: Marriage Date & Rabbi: Wedding Location: Marital Status: Student lives with (check one): Married Divorced Single Widowed Both Parents Father Mother Other________________ If parents are not living in same household, are there shared custody arrangements? Yes No GRANDPARENT INFORMATION May we share with them positive student and school accomplishments? Name: First, Last Hebrew Name: שם בעברית Father’s Father: Rabbi Mr. Dr. Father’s Mother: Mrs. Ms. Dr. Mother’s Father: Rabbi Mr. Dr. Mother’s Mother: Mrs. Ms. Dr. First____________ Last____________ First____________ Last____________ First_____________ Last_____________ First_____________ Last_____________ Maiden Name Maiden Name Same as Grandfather Same as Grandfather Birthplace: Home Address City, Province/State Country: Home Phone: Cell Phone: E-mail Address: Synagogue: Rabbi’s Name: Student’s Name:____________________________________ STUDENT’S MEDICAL INFORMATION: Child’s Physician: _____________________________________ Tel: ________________________ Pg. 3 Health Card #:____ ____ ____ - ____ ____ ____ - ____ ____ ____ ___ ___ Emergency Contact: __________________________________ Phone: ______________________ Cell: ___________________________ Relationship to Student: _______________________________ Does your child have any allergies?: Yes No If Yes, please list __________________________________ Are the allergies anaphylactic? Yes No Does your child carry an Epi-Pen? Yes No Does your child have any other medical condition? Yes No, If yes, please list: ______________________________________________________________________ Is your child taking any medications daily? Yes No If Yes, please list: ______________________________________________________________________ DEVELOPMENTAL HISTORY The Joe Dwek Ohr HaEmet Sephardic School is concerned with the total development of your child – socially, emotionally, physically and intellectually. The following information is critical and required as part of a successful application process. Has your child’s vision been tested? Yes No Does your child wear glasses? Yes No Are there any vision concerns? Yes No, If yes, please describe: ________________________ ________________________________________________________________________________ Has your child’s hearing been tested? Yes No Are there any hearing concerns? Yes No If yes, please describe: _____________________________________________________________ ________________________________________________________________________________ Are there any concerns related to your child’s speech and language development? Yes No If yes, please describe: _____________________________________________________________ ________________________________________________________________________________ Are there any concerns related to your child’s fine or gross motor development? Yes No If yes, please describe: _____________________________________________________________ ________________________________________________________________________________ Are there any concerns related to your child’s behaviour? Yes No If yes, please describe:______________________________________________________________ ________________________________________________________________________________ Are there any significant family situations and stresses that the school should be aware of (divorce, death, accident, illness)? _____________________________________________________________________ ________________________________________________________________________________ Did your child ever have an educational and /or psychological assessment? Yes No. If yes, please provide a copy of assessment: _________________ Please describe the reason for the assessment: _______________ ________________________________________________________________________________ Describe your child’s interaction with peers: _____________________________________________ ________________________________________________________________________________ Describe your child’s response to classroom rules and routines: _____________________________ ________________________________________________________________________________ What do you perceive to be your child’s strengths?________________________________________ ________________________________________________________________________________ Student’s Name:____________________________________ Pg. 4 Letter of Commitment to School Standards The Joe Dwek Ohr HaEmet Sephardic School is an Orthodox Jewish Day school committed to Torah values in the Sephardic tradition as defined by the rabbinic leadership of the school headed by our dean Hacham Amram Assayag and Menahel Rabbi Zvi Kamenetzky. We feel it is important to define the standards which are expected of each student and their family so a clear identity and commitment exists by which we can all relate to. Therefore, beginning April 1, 2015, we will be asking each new parent and the Rabbi supporting/encouraging their enrollment in JDOHSS to read the following statement and sign below expressing their commitment to a specific set of guidelines for the appropriate behaviours of a JDOHSS Ben/Bat Torah and the home environment in which we expect them to, B’Ezrat Hashem, thrive. STATEMENT By enrolling our son/daughter_________________ in The Joe Dwek Ohr HaEmet Sephardic School, and as partners with the school in his/her future development, we commit ourselves to the following standards of religious and parental responsibility. We understand that these standards are difficult for the school to monitor and involve a level of trust which is integral for our son/daughter to gain respect for the mission, values, culture and Torah lifestyle which JDOHSS stands for. However, in the event there is evidence of an apparent disregard for any of these standards or a lack of adherence to these commitments, the school reserves the right to dismiss the student allowing parents to find a more suitable educational environment which is more in line with values they can remain committed to. Student’s Name:____________________________________ Pg. 5 1) Parents and student will never engage in activities both inside and outside the home that constitute Chilull Shabat. This includes driving in a car, (except in cases of life threatening emergencies Chas V’Shalom) use of electronic equipment, going to a place of business, etc. 2) Parents and student will adhere to standards of Kashrut both inside and outside the home. This includes restaurants, eateries, functions, and parties where an acceptable Kashrut supervision is established. 3) Boys over 3 years old who are enrolled in JDOHSS both in and out of the home will always wear a head covering such as a Kippah or Cap/Hat/Hood. 4) Girls over Bat Mitzva will not appear in public in pants or slacks, rather wear a skirt (or coat in the winter which covers snow pants) as appropriate for a Bat Yisrael. 5) All internet use and engagement in electronic/computer activities both in and out of the home either on a home or mobile device will take place with parental supervision and monitoring of appropriate use. At this time the school will not set the standards for use of electronics out of school. However, we expect parents to be aware of their children’s activities and be involved in all aspects of their lives in a way that is not necessarily intrusive and restrictive, rather interested and involved so they may be appreciated as partners in all aspects of their children’s academic, social, and recreational development. Signed Father _____________Print Name__________________ Date____________ Signed Mother ____________Print Name__________________ Date____________ Signed Rabbi _____________ Print Name_________________ Date____________ [Signed Student ____________ Print Name________________ Date____________] ____________________________________Student’s Name: Pg. 6 מכתב התחייבות לעיקרוני רוח יהדות של ביה"ס הספרדי "אור האמת" ע"ש ג'ו דואק בית הספר הספרדי "אור האמת" ע"ש ג'ו דואק הוא בית ספר יהודי אורתודוקסי המחויב לערכי התורה על פי המסורת הספרדית בהנהגתם הרבנית של הדיקן חכם עמרם אסייג שליט"א והמנהל הרב צבי קמנצקי .הכרחי וחשוב מאוד להגדיר את תקנון בית הספר הכולל עקרונות המבטאים את רוח בית הספר וערכיו ,המנחים את פעולותיו ומהווים את המסגרת ואת השקפת העולם ,שממנה נגזר החזון הבית ספרי ,המגדיר את אורח החיים היהודי בבית-הספר ובביתו של התלמיד .תקנון זה יצור מחויבות וזהות ברורה לכל תלמידי בית הספר ובני משפחותיהם. החל מהראשון לאפריל 2015כל הורה חדש ורב הקהילה שלו ידרשו לקרוא את התקנון הבא ולחתום עליו ,כדי לבטא את מחויבותם למדיניות בית הספר בנוגע להתנהגות הראויה של בן תורה /בת תורה בבית הספר ובבית. אנחנו מעונינים לרשום את בננו /בתנו _____________________________ לבית הספר הספרדי "אור האמת" ע" ש ג'ו דואק ,ומתכוונים לשתף פעולה עם בית הספר .אנחנו מתכוונים לשמור על התקנון והסטנדרטים הבאים ,ומבינים כי קשה לפקח על שמירת פרטי התקנון ,והוא כרוך ברמת אימון החיונית עבור הילדים ,כדי שגם הם יוכלו לפתח כבוד לערכי בית הספר ולאורח החיים היהודי הנדרש בו. עם זאת ,במקרה שיש ראיות להתעלמות לכאורה מהתקנון ,בית הספר שומר לעצמו את הזכות להרחיק את התלמיד מבית הספר ,כדי לאפשר להורים למצוא סביבה חינוכית מתאימה העולה בקנה אחד עם הערכים אליהם הם יכולים להישאר מחויבים. Pg. 7 ____________________________________Student’s Name: א׳ .הורים ותלמידים לא יעסקו לעולם בפעילויות המהוות חילול שבת בבית או מחוצה לו .האיסור כולל נהיגה במכונית( ,למעט מקרים של סכנת חיים במצבי חירום חס ושלום) שימוש בציוד אלקטרוני ,הליכה לעבודה וכו'. ב׳ .הורים ותלמידים ישמרו על כללי הכשרות הן בבית והן מחוצה לו .יש להקפיד על הכשרות במסעדות ,במסיבות ובאירועים .כולם צריכים להיות תחת השגחה רבנית המקובלת בעיר. ג׳ .בנים מעל גיל שלוש שנרשמו לבית הספר יחבשו תמיד כיסוי ראש כמו כיפה או כובע בבית ומחוצה לו. ד׳ .בנות מעל לגיל בת מצווה ( )12לא יופיעו בציבור במכנסיים .הן צריכות ללבוש חצאית מתאימה. (או מעיל ,כאשר הן לובשות מכנסי שלג) ה׳ .כל השימוש באינטרנט ובמכשירים אלקטרונים אחרים (במחשב ,בטלפון הנייד וכו') בבית ומחוצה לו יתקיים תחת פיקוח ובקרה של ההורים .בשלב זה בית הספר אינו קובע את הסטנדרטים לשימוש במכשירים אלקטרונים מחוץ לבית הספר .עם זאת ,אנו מצפים מההורים להיות מודעים לפעילויות של ילדיהם ולהיות מעורבים בכל ההיבטים של חייהם באופן שאינו בהכרח פולשני ומגביל ,אלא מתעניין ומעורב כך שההורים יהפכו להיות שותפים בכל ההיבטים של התפתחות ילדיהם. שם האב ______________ :חתימת האב ___________ :תאריך_________ : שם האם ______________ :חתימת האם ___________ :תאריך________ : שם הרב _______________ :חתימת הרב ____________ :תאריך_______ : [שם התלמיד/ה________________ : חתימת התלמיד/ה[________________ : Student’s Name:____________________________________ Pg. 8 PLEASE READ CAREFULLY AND SIGN: The information enclosed in this application and any supporting documentation are strictly confidential. During the admission process, access to this information will be restricted to the members of the Admission Committee. Should your child be admitted to The Joe Dwek Ohr HaEmet, this application and all supporting documentation will become part of your child’s Ontario Student Record (OSR). An OSR is an ongoing record of your child’s educational progress from Elementary through to High School in Ontario. In accordance with the Education Act, the information in an OSR is “privileged for the information and use of supervisory officers and the Principal and teachers of the school for the improvement of instruction” of the student. I / we understand that acceptance of a place at The Joe Dwek Ohr HaEmet Sephardic School signifies: Family acceptance of the religious values of the school. Family disclosure of all special circumstances. Acceptance of the right of administration to determine class placement. Family compliance with all school rules and regulations as published in the Parent-Student Handbook. Student compliance with the school uniform policy while on school property. Family compliance with any agreed upon individual educational plan at JDOHSS. Family commitment to volunteer through the “Build Strong Program”. Family commitment to participate in the “Heritage Dollars Program”. I / we confirm that all the information given in this application form is complete and correct and understand that the school reserves the right to cancel registration or enrolment if incomplete or incorrect information has been given. We understand that our child’s first day of school at The Joe Dwek Ohr HaEmet Sephardic School will be Month_______________ Day_________ Year__________ Father’s Signature: ____________________________________ Date: _________________ Mother’s Signature: ____________________________________ Date: _________________ If parents are divorced, the custodial parent must sign this application. APPLICATION REQUIREMENTS: Please include the following with your completed application: Rabbinical Letter(New families only) Deposit of $200 payable to JDOHSS ($300.00 after March 31) Two (2) recent passport photo size pictures of your child A copy of your child’s two most recent report cards. Birth Certificate If your child was born outside of Canada, a copy of Canadian Citizenship & Immigration documentation A copy of your child’s OHIP Card A copy of your child’s Immunization record Developmental History Form (Preschool only) FOR OFFICE USE ONLY: Date application received:_______________ Rabbinical Letter Deposit Photos Report Cards Birth Certificate Citizenship/Immigration (if applicable) Immunization record OHIP Card Other______________________ STUDENT WAIVER Student’s Name:__________________________________ Grade: ______________ Pg. 9 The Joe Dwek Ohr HaEmet Sephardic School 7026 Bathurst Street Thornhill, ON L4J 8K3 Tel: 905-669-7653 Fax: 905-669-5138 EDUCATIONAL AND RECREATIONAL TRIPS PERMISSION FORM: I hereby permit my child to participate under supervision in educational/recreational trips during the school year. Such permission is to remain in force unless terminated by me, by express notice, in writing, to the Principal of the school. Note: Parents will be informed of the nature and details of each excursion before the date of the trip. However, unless the school received written notice to the contrary, the student will participate in the excursion. EDUCATIONAL SERVICES: I hereby permit my child to interact with any of these service providers affiliated with JDOHSS: - Guidance ISP Department Remedial/ Enrichment/Kol Koreh specialists Child Youth Worker Educational consultants MEDICAL EMERGENCY: In case of surgical and any other type of medical emergency and I/we are not immediately available for consultation, I/we give permission for the treatment necessary to the health of my child by the physician selected by the school administration. PHOTO RELEASE FORM: Teachers and other staff members of the JDOHSS may occasionally photograph or film children participating in class activities and special events. Typically, these pictures are used to record special activities or events and may be displayed in photo albums, on bulletin boards or appear in newsletters and advertisements for the school or the newspaper. We would like your consent to use any pictures in which your child may appear. I hereby give the JDOHSS my permission to take, use and publish photographs of my child. I understand that the photographs will not be used for any commercial purposes. CARPOOL & DAYCARE ARRANGEMENTS: Are there any special carpool If yes, please specify whomever you allow to carpool with your child: __________________________ ________________________________________________________________________________ Is daycare necessary for the morning? Yes No Time: 8:00 – 8:20 AM Is daycare necessary for the afternoon? Yes No Time: 4:00 – 4:30 PM 4:00 – 5:00 PM EDUCATIONAL AND RECREATIONAL TRIPS EDUCATIONAL SERVICES MEDICAL EMERGENCY PHOTO RELEASE FORM Date: ________________ Signature of Parent or Guardian:_______________________________
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