‫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, a letter of introduction/recommendation from their Rabbi or Rabbinic
advisor indicating the following:




How long the Rabbi or Rabbinic advisor has known your family.
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.
Sincerely,
Rabbi Kamenetzky
Mrs. Sarah Wasserman
Mrs. Sara Cohen
Menahel
Principal
Vice Principal
,
JOE DWEK OHR HAEMET SEPHARDIC SCHOOL & EARLY YEARS
ADMISSION PROCESS
ADMISSION PROCESS
THE ADMISSION PROCESS AT 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 a non-refundable
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 in the family background?  Yes  No, 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
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
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 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 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.
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
 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
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.5
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, 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 arrangements?
Yes No
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:_______________________________