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Pre-visit Information
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Thank you for your interest in Gottesman RTW Academy (GRTWA). Please complete the form below before your visit to GRTWA.
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Student Information
First Name
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Last Name
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Birth Date (mm/dd/yyyy)
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Gender
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Male
Female
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School Information
Inquiry Date
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Current Status
Inquired
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If the child does not currently attend a school, enter "not applicable" in the current school field.
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Current School
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Current Grade:
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Not Applicable
Infants
2-year-olds
3-year-olds
4-year-olds
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
<Other (please specify)>
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Other (please specify)
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Proposed Entry Grade
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Infants
2-year-olds
3-year-olds
4-year-olds
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
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Proposed Entry Year
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Gottesman RTW Academy: 22-23
Gottesman RTW Academy: 21-22
Gottesman RTW Academy: 20-21
Gottesman RTW Academy: 19-20
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Parent/Guardian 1
Relationship to Student
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Father
Mother
Grandparent
Step Parent
<Other (please specify)>
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Other (please specify)
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First Name
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Last Name
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Contact Type
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Home Email
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Preferred Email
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Contact Type
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Home Phone
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Home Phone
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Contact Type
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Home Phone
Work Phone
Cell Phone
Home Email
Work Email
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Cell Phone
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Town
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Religious Affiliation: Gottesman RTW Academy requires one parent is Jewish to be considered for admission.
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Religion
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Jewish
Christian
Muslim
Buddhist
Other
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Parent/Guardian 2
Relationship to Student
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Father
Mother
Grandparent
Step Parent
<Other (please specify)>
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Other (please specify)
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First Name
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Last Name
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Religious Affiliation: Gottesman RTW Academy requires one parent is Jewish to be considered for admission.
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Religion
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Jewish
Christian
Muslim
Buddhist
Other
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How did you first learn about GRTWA?
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Current School
Educational Consultant
GRTWA Board Member
GRTWA Open House/School Event
GRTWA Staff
GRTWA Website
Live in the Area
Newspaper/Magazine
NJAIS Website
Reputation/Word of Mouth
Sibling
Synagogue
<Other (please specify)>
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Other (please specify)
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Please provide an email address to which we can send a confirmation.
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