Charles E. Smith Jewish Day School

Student Information

Student Name

First

Middle

Last

Suffix

Preferred Name

Gender

Date of Birth

mm/dd/yyyy

For Admission Year

Applying For Grade

Please share the name of the current school where the applicant is enrolled

School in which the child is currently enrolled

School Name

Student's Interest(s)

Is the student being raised as a Jew? (Why do we ask this? The purpose of CESJDS is to ensure a vibrant Jewish future through the growth of confident, compassionate thinkers who engage the world through a Jewish lens. To that end, all students at CESJDS are being raised as Jews.)

Yes No

Parent / Guardian

Relationship to Student

Parent Name

Title

First

Middle

Last

Suffix

Preferred Name

Phone

Type

Number

Email

Parent / Guardian 2

Does the applicant have a second parent/guardian who lives in this household?

Yes No

Relationship to Student

Parent Name

Title

First

Middle

Last

Suffix

Preferred Name

Phone

Type

Number

Email

Visit CESJDS

Please select which event(s) you'd like to attend:

Open House

Please select a date & time

Contact for this appointment

First Name

Last Name

Phone

Email

Lower School Tour

Please select a date & time

Contact for this appointment

First Name

Last Name

Phone

Email

Upper School Tour

Please select a date & time

Contact for this appointment

First Name

Last Name

Phone

Email

Upper School Visit Day

Please select a date & time

Contact for this appointment

First Name

Last Name

Phone

Email

If you are applying to the Lower School, but are also interested in learning about the Upper School, please contact Wendi Kaplan, Director of Upper School Admissions, at wkaplan@cesjds.org.

Referral Method

Name of Current or Past Parent?

Please Specify