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YESODEY HATORAH SENIOR GIRLS

SCHOOL

ADMISSIONS INFORMATION PACK



for entry in school year beginning September 2014

YHS FORUM
yhsforum@gmail.com

Contents
Frequently Asked Question................................................................................................................ 1
............................................................................................................................ 8
............................................................................................................................... 15
Useful contact details ......................................................................................................................... 21
Schools Admission Policy ................................................................................................................ 22
Important dates and deadlines ............................................................................................................ 24
School information from Hackney Learning Trust secondary school admissions brochure ............ 25
AT END OF PACK
Application form (for Hackney residents only)
Supplementary Information Form for all applicants

The information in this pack is correct on October 2013 and may change in the future.
The advice given is for information only and not legal advice. For all further information consult the
Hackney Legal Trust Secondary School Admissions Brochure or call the Hackney Learning Trust
Admissions Team on 020 8820 7501.
This Information Pack is a collaborative effort and thanks to all involved.
The YHS Forum is independent from Yesodey Hatorah Senior Girls School and is not associated with
the School.

YESODEY HATORAH SENIOR GIRLS


SCHOOL ADMISSIONS
FREQUENTLY ASKED QUESTIONS
In drawing up their admission arrangements, admission authorities must
ensure that the practices and the criteria used to decide the allocation of
school places are fair, clear and objective. Parents should be able to look at
a set of arrangements and understand easily how places for that school will
be allocated
(Introduction to the School Admission Code, February 2012)
* indicates that the document is included in the Application Information Pack

1.

Q. I would like to apply for my daughter to join Yesodey Hatorah Senior Girls
School (the School) but she does not attend Yesodey Hatorah Primary School.
Can the School refuse my daughter a place because of the primary school she
currently or has previously attended?
A. No. It is against the law for the School to favour applicants who attended an
independent fee-paying primary school. Yesodey Hatorah Primary School is an
independent fee-paying school and girls from that school may not be given any
advantage in the admissions process.

2.

Q. How old must my daughter be when I apply to the School?


A. For admission in September 2014 your child must have been born between
01/09/2002-31/08/2003.

3.

Q. What are the main advantages of my daughter attending the School?


A. The School has a heimishe frum atmosphere with a very strong Jewish ethos. The
School was rated Outstanding by Ofsted in its most recent report; the School
consistently achieves some of the highest grades in Hackney and in the country as
a whole; there are no compulsory school fees payable and the School does not
currently seek a voluntary contribution for kodesh studies.

4.

Q. How can I obtain more information about the School?


A. Information about the School is contained at the Schools webpages here and in the
Hackney Learning Trust secondary school admission brochure (the admissions
brochure). For up-to-date admission arrangements rely only on the admissions
brochure.

5.

Q. How can I find out about the grades achieved by the School in recent years?
A. The exam results of the School and lots of other information can be found on the
Schools page on the Department for Education website.

6.

Q. Has the School been inspected by Ofsted and where can I see its reports?
A. The School last had a full inspection in 2006 and an interim inspection in 2010.
The full reports can be found on the Ofsted website here.

7.

Q. Does the School hold an open day?


A. No.

8.

Q. Am I able to visit the School prior to making an application?


A. Yes. The Schools page in the admissions brochure* states that to arrange a visit
you should contact the School. The Schools telephone no. is 020 8826 5500.

9.

Q. Must the parents or our daughter meet the Head Teacher, the Principal or
anyone else from the School before or during any stage of the application
process?
A. No. It is against the law for the School to require an interview with either
prospective pupils or their parents or the child in the course of the admissions
process.

10. Q. May the School refuse my daughter a place because she did not achieve good
grades in primary school?
A. No. The School does not select according to ability.
11. Q. My daughter is disabled/has special needs. Is that a valid reason for refusing
her a place?
A. No. It is against the law for the School to discriminate on grounds of disability or
special needs. There is a separate process for children with a Statement of Special
Educational Needs. This is set out at page 14 of the admissions brochure.
12. Q. What are the criteria for being accepted to the School?
A. The School stipulates that all pupils must abide by the principles and ethics of the
Charedi community. The Schools definition of Charedi and its general
admissions policy* can be found here.
13. Q. I am of chasidish / litvish / sefardi / yekish origin. Is this a reason for the
School to refuse my daughter a place?
A. It is against the law for the school to discriminate on grounds of race, religion or
belief (subject to the schools religious ethos). Decisions on admissions must also be
fair and objective.

14. Q. How do I apply to the School?


A. Parents can complete the application form online at www.eadmissions.org. See
below for the Step by Step Guide to Making an Application for further details on
how and where to make an application and for important deadlines. You should
also consult the admissions brochure on page 15.
15. Q. I do not have internet access. Can I make an application on a paper form?
A. Yes. Hackney residents can download a paper form* here. Residents of other
boroughs should contact their home local authority for a form. See contact details
below. (If applying online it is the same procedure wherever you live.)
16. Q. Must I provide any proof of identity?
A. Yes. You must include with your application your council tax bill of this year or a
housing benefit letter and a gas, water, electricity or telephone land line bill not
more than 2 months old. Original documents must be submitted.
17. Q. What is the deadline for applying to the School?
A. Friday 25 October 2013 is the date when Hackney Learning Trust prefers all
application to have been submitted either online or by a paper application. (The online admissions website will accept applications until 31 October 2013.) See page
9 of the admissions brochure for all important dates*.
18. Q. The admissions brochure mentions a Supplementary Information Form that
must be submitted as part of my application. What is this?
A. The Supplementary Information Form contains the Union of Orthodox Hebrew
Congregations (UOHC) Chareidi Ethos and Rules. This is an important form to
satisfy the religious requirements for admission to the School. The form also
contains a Confirmation of Chareidi Status which must be signed by a member of
the UOHC Rabbinate.
19. Q. Where can I obtain the Supplementary Information Form?
A. A Supplementary Information Form can be downloaded here.
20. Q. How do I arrange for a member of the UOHC Rabbinate to sign the
Supplementary Information Form?
A. You should contact the offices of the UOHC on 020 8802 6226 (020 8458 2326 for
NW London office) for advice on how to obtain a signature of confirmation.

21. Q. I have read the form and I do not conform to some points on the Schools
ethos. However, I think this is unfair because there are people I know who
have daughters at the school and who also do not fully conform. What can I
do about it?
A. Faith based criteria (which is what the Supplementary Information Form seeks to
apply) must be fair, easy to understand and fairly applied. If your daughter is
refused a place and you feel you have been unfairly treated you can appeal.
22. Q. I have recently moved to London and no one really knows me here / my family
does not live in the Stamford Hill area and I do not know members of the
Rabbinate. Can I still apply?
A. The law requires admission procedures to be fair. You should contact a rov or
dayan who knows your family and ask them to write a letter for you or to contact a
member of the Rabbinate to provide a reference on your behalf.
23. Q. Where do I send the completed Supplementary Information Form?
A. The completed Supplementary Information Form is sent to the School, see details
below. NOTE: ONLY THE SUPPLEMENTARY INFORMATION FORM IS
SENT TO THE SCHOOL. IF THE PAPER APPLICATION FORM IS USED IT
MUST BE SENT TO YOUR HOME LOCAL AUTHORITYS SCHOOL
ADMISSION TEAM.
24. Q. When is the deadline for returning the Supplementary Information Form to
the School?
A. 31 October 2013. It is very important that you contact the UOHC about the
Supplementary Information Form as soon as possible.
25. Q. I do not live in Hackney. Does that put me at a disadvantage?
A. The School may not discriminate because you live in another borough. If not
applying online, you must apply through your home local authority who will
forward your application to Hackney Learning Trust. See the contact sheet for
details of some neighbouring local authorities.
26. Q. Is the distance that I live from the School relevant to the admissions process?
A. Generally no. However, if the School is oversubscribed (see below) and after
having prioritised applicants under the oversubscription criteria there still remain
insufficient places then priority will be given to the applicant living closest to the
School.
27. Q. I applied just before the deadline. Will parents who applied before me have
priority?
A. No. A child may not be given priority because their application was later than
others so long as the application was submitted before the deadline.

28. Q. Once I have made an application by when can I expect a reply?


A. On or shortly after 3 March 2014 you will receive a letter or email from Hackney
Learning Trust. If you do not receive a reply by that time you should contact your
home local authority.
29. Q. My daughter has been offered a place at the School. Must I do anything
further to accept the place?
A. The acceptance letter will have a reply form attached. You must complete and
return the reply form by 17 March 2014 to confirm that you are accepting the offer.
You can also accept the offer online at www.eadmissions.org.uk. If you dont do
this, the offer of a place at the School may be withdrawn.
30. Q. My daughter has been refused a place. Must the School give me a reason?
A. A refusal to offer you a place must state the reasons why admission has been
refused. The refusal letter must also give you information about the right to appeal,
the deadline for lodging an appeal and the contact details for making an appeal.
31. Q. The School has told me that they had more applications than places available,
(oversubscribed), and they have no place for my daughter. Is this a legitimate
reason for refusal?
A. It may be in some circumstances. The School publishes oversubscription criteria as
part of the admissions information* which can be found here. The oversubscription
criteria themselves must be fair and objective and must also be fairly and
objectively applied. Parents must be able to understand easily how the religious
requirements in the oversubscription criteria can be reasonably satisfied.
32. Q. Do pupils of Yesodey Hatorah Primary School have priority if the School is
oversubscribed?
A. No. See the reply to Q.1 above.
33. Q. Is the School generally oversubscribed?
A. Last year there were 59 applications for 80 available places at the School. All
applicants were accepted.
34. Q. My daughter has been refused a place and Im not sure what else I can do
about it. Can I appeal?
A. Yes. You have a right to appeal to an independent school admissions appeal panel
which the school must set up to hear your appeal. It is beyond the scope of this
FAQ to cover appeals and a separate appeals FAQ may be published should the
need arise. For useful information on appeals see this link here.

35. Q. What is the deadline to appeal?


A. 24 March 2014. This is a very important deadline and you must lodge your appeal
by this date. If an appeal is lodged after this date relating to a late application the
School will still have to make arrangements for your appeal to be heard.
36. Q. My daughter has been refused a place and I would like to know who made the
decision. How can I find out?
A. You should ask the School which should provide you with that information. It is
against the law for a single person to decide on admissions.
37. Q. I am concerned that the reasons given to me for a refusal may not be the true
reasons and I would like to know what information the School or the UOHC
hold on me. How can I obtain this information?
A. Under the Data Protection Act you may make a subject access request from the
School and/or the UOHC to provide you with all the personal information they
hold on you. Further information how to make such a request can be found here.
38. Q. My daughter is already at a secondary school and we would like to transfer
her to the School for the coming school year or during the current year (Inyear Admissions). Are we able to do this?
A. Yes, provided there are vacancies in the class. The most recent information
provided by the School shows that there are vacancies in Year 7 and in Year 11.
You can apply even where there are no vacancies and you will be placed on a
waiting list.
39. Q. What is the procedure for In-year Admissions and is there a deadline?
A. An application form can be requested from Hackney Learning Trust. This form
should be returned directly to Hackney Learning Trust irrespective of the
borough in which you live. You will also have to complete a Supplementary
Information Form* which should be returned to the School. There is no deadline
and you can apply at any time.
40. Q. Where can I find further information?
A. Please refer to the admissions brochure for all further information or call Hackney
Learning Trust on 020 8820 7501
If you have additional questions feel free to contact us at yhsforum@gmail.com and we will
try to assist.

Set up online account at www.eadmissions.org.uk.


If you are applying on a paper form then Hackney residents only may use
the form included in this information pack or you can download an
application form here. Residents of other boroughs must contact their
home local authorities for an alternative paper form.

Complete the Supplementary Information Form included in this


information pack and contact the UOHC for it to be signed by a member
of the Rabbinate. A Supplementary Information form can be downloaded
here.

Complete the application form online or submit your paper application


form preferably by 25 October 2013 but by no means any later than 31
October 2013. A late application will put you at a severe disadvantage.

Submit the completed and signed Supplementary Information Form to the


School by no later than 31 October 2013.

Sit back and hope for the best.

GOOD LUCK!
7



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CONTACT SHEET

Yesodey Hatorah Senior Girls School


Egerton Road, London N16 6UB
Tel: 020 8826 5500
admin@yesdoeyhatorah.org
School pages on NAJOS website
School pages on Learning Trust website
Schools Admission Policy
Supplementary Information Form
London Borough of Hackney
The Learning Trust
Reading Lane, London E1,
Secondary School Admissions page
Tel: 020 8820 7501
School Admissions Form
Union of Orthodox Hebrew Congregations
140 Stamford Hill, London N16 6QT
Tel: 020 8802 6226
213 Golders Green Road,
London NW11 9BY
Tel: 020 8458 2326
London Borough of Haringey
Secondary School Admissions page
Tel: 020 8489 1000
Email: schooladmissions@haringey.gov.uk
London Borough of Barnet
Secondary School Admissions page
Tel: 020 8359 7651
London Borough of Redbridge (Ilford)
Secondary Schools Admissions page
020 8708 3129 / 3996
admissionsandAwards@redbridge.gov.uk

21

YesodeyHatorahSeniorGirlsSchool,AdmissionsPolicy2014

AdmissionsPolicy

Context
ThispolicywasadoptedbytheGovernorsinMarch2012andwillbereviewedinFebruary2013
YesodeyHatorahSchoolexiststomeettheneedsofCharediJewishfamiliesinStamfordHillwhodesirea
CharediJewisheducationfortheirdaughters.Theschoolseekstoprovideabroadandbalancededucation
basedonTorahvaluescombinedwiththeNationalCurriculum.Allpupilswillneedtoabidebytheprinciples
andethicsoftheCharedicommunityasguidedbytheRabbinateoftheUnionofOrthodoxHebrew
Congregations.

ThedefinitionofCharediisasfollows:
AdistinctgroupwithintheJewishcommunitydistinguishedbyculturaldifferencesandstrictadherenceto
andpracticeofOrthodoxJudaism.Allmembersofthiscommunityleadanextremelymodestwayoflife
dictatedbythehighestmoralandethicalvalues.Everyaspectoftheirlivesisgovernedbythecodesof
Torahobservance,andisbasedonthethreetenetsofJudaismTorah,PrayerandActsoflovingkindness.

CharedihomesdonothaveTVorotherinappropriatemedia,andparentswillensurethattheirchildrenwill
nothaveaccesstotheInternetandanyothermediawhichdonotmeetthestringentmoralcriteriaofthe
Charedicommunity.FamilieswillalsodressatalltimesinaccordancewiththestricteststandardsofTznius
(modesty)aslaiddownbytheRabbinateoftheUnionofOrthodoxHebrewCongregations.

AdmissionsArrangements
Theschoolwilladmitupto80girlstoeachyeargroupfromYear7toYear11inclusive.
WheretheschoolisnamedinachildsStatementofSpecialEducationalNeeds,thatchildwillbe
admittedtotheschoolandwillbecountedagainsttheadmissionnumber.
IftherearemoreapplicationsthanplacesavailabletofillYear7andvacanciesinYears8to11duringthe
schoolyear2012/13,theGoverningBodywilladmitpupilsinaccordancewiththefollowingover
subscriptioncriteria:
1. CharediJewishgirlswhoare looked after children or previously looked after children (i).
2. CharediJewishgirlswithsistersattheschool.(Asistermustlivepermanentlyatthesameaddressas
thechildforwhomtheapplicationisbeingmade.Thisincludeshalfsisters,stepsistersandfoster
sisterswholivepermanentlyasafamilyunitatthesameaddress)
3. CharediJewishgirlswhomeettheCharedicriteriaasprescribedbytheRabbinateoftheUnionof
OrthodoxHebrewCongregations.
4. OtherCharediJewishgirls.
5. Othergirlswhoare looked after children or previously looked after children inpubliccare.
6. Othergirls.
Waitinglist
WedonotoperatebandingandthereforewewillnotaskfortheCATscoresfromTheLearningTrustatany
time.Lateapplicationsreceivedwillbeconsidered,rankedandplacedonthewaitinglist.Agirlspositionin
thewaitinglistisdeterminedinaccordancewiththeoversubscriptioncriteriasoagirlmaymoveupand
downthelist.Thelistwillbemaintaineduntil21stDecember2012.
.
TieBreaker
Ifthereareinsufficientvacanciesforallapplicantsinanyoftheabovecategories,prioritywillbegivento
pupilslivingclosesttotheschool.Distancewillbemeasuredinastraightlinefromtheirhomeaddressto
themaingatesoftheschool.Intheeventthattwoapplicantslivethesamedistancefromtheschool
randomallocationwillbeused.
(i)

Alookedafterchildisachildwhois(a)inthecaseofthelocalauthorityor(b)beingprovidedwithaccommodationbythe
localauthorityintheexerciseofitssocialservicesfunctions.Apreviouslylookedafterchildisachildwhowaslookedafter
butceasedtobesobecausetheywereadopted(orbecamesubjecttoaresidenceorderorspecialguardianshiporder
immediatelyfollowinghavingbeenlookedafter).

22

YesodeyHatorahSeniorGirlsSchool,AdmissionsPolicy2014

(i)

ParentswillneedtoapplyforaplaceattheschoolusingTheLearningTrustsapplicationformandin
accordancewiththeirtimetable.Inorderforanapplicationtobeprioritisedwithintheadmissions
criteriaonthegroundsofaCharediJewishfaith,parentsmustsubmitasupplementaryinformationform
provingtheircommitmenttothefaith.TheformisavailablefromtheschoolorTheLearningTrust.
AnydisputesastowhetherachildisCharediwillbesettledbyreferencetotheRabbinateoftheUnion
ofOrthodoxHebrewCongregations.

Alookedafterchildisachildwhois(a)inthecaseofthelocalauthorityor(b)beingprovidedwithaccommodationbythe
localauthorityintheexerciseofitssocialservicesfunctions.Apreviouslylookedafterchildisachildwhowaslookedafter
butceasedtobesobecausetheywereadopted(orbecamesubjecttoaresidenceorderorspecialguardianshiporder
immediatelyfollowinghavingbeenlookedafter).

23

24

25

SECTION THREE
INFORMATION AND ADMISSIONS CRITERIA

Mission, vision and values


The definition of Charedi is:
A distinct group within the Jewish community
distinguished by cultural differences and strict
adherence to and practice of Orthodox Judaism.
All members of this community lead an extremely
modest way of life, dictated by the highest moral
and ethical values. Every aspect of their lives is
governed by the codes of Torah observance and is
based on the three tenets of Judaism Torah,
Prayer and Acts of Loving Kindness.
Charedi homes do not have TV or other
inappropriate media. Parents ensure that their
children do not have access to the Internet or any
other media which do not meet the stringent moral
criteria of the Charedi community. Families dress at
all times in accordance with the strictest standards
of Tznius (modesty), as laid down by the Rabbinate
of the Union of Orthodox Hebrew Congregations.
The Charedi community is guided by the authority
of the Rabbinate.
Parents play an important role in supporting
achievement and ensuring that their daughters
always give their best. The school will not give
pupils access to media that do not support the
moral criteria and Torah values of the Charedi
community. Parents are expected to co-operate
fully in insulating the children from undesirable
external influences and fashion trends that conflict
with Charedi Jewish values.

yesodey hatorah
senior girls school
CHAREDI JEWISH VOLUNTARY AIDED SCHOOL

WELCOME TO OUR SCHOOL


Yesodey Hatorah Senior Girls School exists to
meet the needs of Charedi Jewish families in
Stamford Hill; an area that is home to the biggest
Orthodox Jewish community in Europe.
The Charedi community makes up about 10 per
cent of Hackneys population and is growing at
about 5 per cent each year. All pupils are expected
to abide by the principles and ethics of the Charedi
community.
The school is friendly and welcoming with a
positive atmosphere. Our hard working staff focus
on developing achievement for every young
learner. Their dedication and high expectations can
be seen in many areas of the school.

Vision
Our vision is to deliver a high-class education which
is firmly based on Torah principles and is combined
with the National Curriculum.
Aims of the school are to:
develop each girls Charedi Jewish identity, while
enabling her to experience success, progress and
enjoyment academically, personally and socially;

A constant focus on excellence, opportunity and


on our Charedi identity ensures that Torah values,
and an ethos of achievement, are nurtured in the
everyday life and routines of the school. Each pupil
is expected to adhere to Torah observance and
reflect the Three Pillars of Judaism in their work.

ABOUT our SCHOOL


Headteacher
Mrs R Pinter

CONTACT DETAILS
Egerton Road, London, N16 6UB
T. 020 8826 5500 F. 020 8826 5515
admin@yesodeyhatorah.org

AGE
11-16 (girls only)

2014 ADMISSION NUMBER


80

TRANSPORT INFORMATION
BUS ROUTES
Stamford Hill: 67 / 76 / 149 / 243 / 318 / 349 / 476
Nearby: 253 / 254

NEAREST STATIONS
Clapton then bus 253 / 254
Manor House then bus 253 / 254
Seven Sisters and South Tottenham then bus
76 / 149 / 243 / 349 / 476
Stamford Hill then 5 minutes walk

OPEN DAYS AND EVENINGS


Please contact the school to arrange a visit on
020 8802 8412.

develop each girls thinking, self-discipline and


creativity;
develop each girls moral understanding and
range of skills, talents and values, in particular:
modesty, tolerance, respect of others, courtesy
and the general demeanour as a Bas Yisroel;

Our pupils take their studies seriously and apply


themselves fully. They show good attitudes to
learning because the school sets and demands
high expectations. Systems have been developed
to help pupils make good progress within a
framework of equality, respect and positive
relations between pupils, and between pupils and
staff.

develop each girls leadership, initiative,


tolerance and self-discipline;
develop a respect for the environment and an
understanding of the world in which we live.

Mrs R Pinter, Headteacher


26

Hackney Learning Trust, London Borough of Hackney

117

ALLOCATION MAP IN 2013

ADMISSIONS CRITERIA FOR 2014

Successful and unsuccessful applicants for Yesodey Hatorah Senior Girls School
SEVEN
SISTERS

Yesodey Hatorah Senior Girls School exists to


meet the needs of Charedi Jewish families in
Stamford Hill who desire a Charedi Jewish
education for their daughters. The school seeks to
provide a broad and balanced education based on
Torah values combined with the National
Curriculum.

WALTHAMSTOW
CENTRAL
WALTHAMSTOW
QUEENS ROAD

NES R D

ST JAMES
STREET
STATION
SOUTH
TOTTENHAM

RD

SI

ST

ER

S T AN

Yesodey Hatorah Secondary Senior Girls School

VE

New River
PA
VEN
CRA

N RD
ES TO

LE
A

RD

GELD

D
LT
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RK
PA

A
RI

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ET
HE
RE
LL

MARE ST

MARE S T

RU

E
RD

ER
SC
RO
FT

ER

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BROA
DW
AY
MK
T

SHEEP LANE

MARLB
OR
OU
GH

RD

Y RD

BUR

BO D N E Y
RO
W
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MIT
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KINGSLAND RD
SL A N D R D

HA

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SH O

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I TC H H I G H

ST

CURTAIN RD

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W

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E DR

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QUEENSBRIDGE RD

DE BEAUVO

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KYVERDALE RD

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RD

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FO
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LL

EL

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KINGSLAND RD

IR RD
PITFIELD ST

PITFIELD S T
TON ST

TH

AL

GR

EE

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RD

BOW
CHURCH
BETHNAL
GREEN

BOW ROAD

RD

SHOREDITCH

MILE END

BETHNAL
GREEN

ST

LO

ATE

B IS

Crown copyright. All rights reserved (licence number 100019635) 2013

S15

Yesodey Hatorah School

Successful applicants (59)

05. Other girls in public care.

Tie-Breaker
If there are insufficient vacancies for all applicants
in any of the above categories, priority will be given
to pupils living closest to the school. Distance will
be measured in a straight line from their home
address to the main gates of the school.
Parents will need to apply for a place at the school
using Hackney Learning Trusts application form
and timetable given in this booklet. Parents
applying under priorities 1 to 4 will also need to
get a signed supplementary form proving to their
commitment to the Charedi Jewish faith. The form
is available from the school or Hackney Learning
Trust.

We do not operate banding and therefore we will


not ask for the CAT scores from Hackney Learning
Trust at any time. Late applications received will be
considered, ranked and placed on the waiting list.
The list will be maintained until December 2013.

WHITECHAPEL

HO

P SG

ATE

LIVERPOOL
STREET

04. Other Charedi Jewish girls.

waiting list

STEPNEY
GREEN
DEVONS
ROAD

SHOREDITCH

WORSHIPST

AP
PO

CROWN CLIF

CR

S T O K E N E W I N G TO N R D

NEVILL RD

RD

D
NR
E RD
HGAT
SOUT

PAUL ST
ST

LK

H IGH RD
STAMFORD HILL

H IGH S

I N G TO N
S TO K E N E W

N RD
A LBI O
VE
MILTON GRO

A LBI ON

WINS TON R D

REE
NG
TO
NG

NE WI

RD
ES

EN
DEL
SHA
MR
CL
D
AP
TO
N
WA
Y

NK

WEST B
ANK

DURL
EY RD

EAST B
A

NC
N
EW
T

D
ER
DA
L

SHAKES
PEARE WALK

RD
S
ER
ST
SI
N
VE
SE

EX

WILSON

RD

RD

E
OV

BE

NAL G

HE ATH RD

BETH

06. Other girls.

Where the school is named in a childs Statement


of Special Educational Needs, that child will be
admitted to the school and will be counted against
the admission number.

GE

E A ST

GR

HACKNEY RD

Charedi homes do not have TV or other


inappropriate media, and parents will ensure that
their children will not have access to the Internet
and any other media which do not meet the
stringent moral criteria of the Charedi community.

The school will admit up to 80 girls to each year


group from Year 7 to Year 11 inclusive.

RID

O RG

PUDDING
MILL LANE

CAMBRIDGE
HEATH

ERCIAL ST

MO

TE

VICTORIA PARK

RD

C AMB

WALK

S ROU

RD
DS
AR
TCH
PRI

D E SS

C R OS

CT

03. Charedi Jewish girls who meet the Charedi


criteria as prescribed by the Rabbinate of the
Union of Orthodox Hebrew Congregations.

Families will also dress at all times in accordance


with the strictest standards of Tznius (modesty) as
laid down by the Rabbinate of the Union of
Orthodox Hebrew Congregations. The Charedi
community is guided by the authority of the
aforementioned Rabbinate

Y RD

EAST

RD

W
RE

HE R

RD

RD

RD

RD

02. Charedi Jewish girls with sisters at the school.


A sister must live permanently at the same
address as the child for whom the application is
being made. This includes half sisters, step
sisters and foster sisters who live permanently
as a family unit at the same address.

All members of this community lead an extremely


modest way of life dictated by the highest moral
and ethical values. Every aspect of their lives is
governed by the codes of Torah observance, and is
based on the three tenets of Judaism: Torah, Prayer
and Acts of loving kindness.

HACKNEY WICK

D
N

SH E P

RD

RD

IRE

RTH

RD

WO

NT

AND

VI

H RD

M
AN

SK IP

RUTL

RSH

RD

GO
RE

ROUG

BE

TH

RD

HBO

CH

OR

SOUT

AP

RO T H B U R

RD

N
E

SOUTH
HACKNEY

HACKNEY
WICK

RD

Y
CO

SW

K
PAR

RD

G
AS

TE
GA

IN
RD A

RD

RIA

OW

RD

RD

TIE

RR

DR

ND

RIS

AN

W ICK

SSLA

HA

SS L

PARK

ST

CA

CH

RD

E
UT

EA

THY

RD
CK
STO
BRAD

PTON

TO

TO

WELL STREET
COMMON

EMO

VIC

ES

CA

CL AR

KING EDWARDS

ST JOSEPHS
HOSPICE

SD
AL

HOMERTON ST CROSS RO

WICK RD
KE

SE

HASSETT RD

CE
PL A

FR AM

ASS

W E LL

TUDOR RD

HOMERTON

T
R E TRE A

OR

HIGHBURY GROVE

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BAR

H O M E R TO N

NE

ACE
M PL
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THOU

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W
RO

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ON
ERT
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RT

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CLAPTON

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CLAPTON
PARK

KINGSMEAD
ESTATE

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HOSPITAL

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PAR
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DARN

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HACKNEY
MARSH

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DUNL

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ESTATE

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PARK

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PARK

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FIELDS

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FIELDS

WHISTON RD

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HAGGERSTON

HOXTON

SOUTH MILLFIELDS
RECREATION
GROUNDS

BARBICAN

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BR
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SUN

TRELAWNEY
ESTATE

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WN
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WHISTO

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HACKNEY
CENTRAL

NUM ST
LABUR

WEYMOUTH TER

OLD
STREET

TR EE

BROWNLOW

OLD S

FIELDS
ESTATE

REGENTS ROW

GEFFRYE ST

ICK PL

NS W

NWOO

RS

CHART ST

MIDDLETON RD

RD

FALKIRK ST

RDASHER ST
HABE

BRU

MOORFIELDS EYE
HOSPITAL

OL

ARDEN
ESTATE

RS

MAPLEDENE RD

GE

RD

RD

DALSTON

G
A

HOX TON ST

OS T ST
PROV

HU

HACKNEY

GREE

FR

YR

PUR

ST JOHNS
ESTATE

DALSTON LANE

AM

NE

SHRUBLAND RD

PEARSON ST

CELL ST

HOXTON
NE

IVY ST

ERN ST
MINT
CRANSTON
ESTATE

PROVOST
ESTATE

LL S
TTA
NU

WILTON WAY

FORES T RD

ALBION DRIVE

LEE ST

WHITMORE
ESTATE

ST

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RD

BR

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YS

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GR AHAM ROAD

RICHMOND

CELANDINE DR

HERTFOR

CR

NO

SHOREDITCH
PARK

FOREST RD

MIDDLETON

RK RD

HACKNEY
DOWNS

DAL S TON L A

D
RICHMOND R

DUNS TON

RD

OR

RD

RF

PA
WNS

RIN

HA

NE

E
GL
EA

NE

VA
NA

EIG

HO

DO

K RD

OLME RD
KH
AR

DL

RD

R
PA

GE

S RD

NIGHTINGALE
ESTATE

SCENT
ONE CRE
COLVEST

AM RD

ELD RD

NS

RD

E
DG

KENNINGHALL RD

HAM RD

DALSTON LANE

DE BEAUVOIR
TOWN
COLVILLE
ESTATE

D OW

R I DL E Y R D

HAGGERSTON

ST

BEACHWOOD RD

AR

RCH

LE

SANDRING

KINGSLAND
ENGLEFI

PENN ST

RD
EYS
VEL
CLE

CLAPTON

HACKNEY
DOWNS

DALSTON
JUNCTION

DOWNHAM RD

FARRINGDON

CK
SH A

ID

NORTH MILLFIELDS
RECREATION
GROUNDS

RD

RD

ROVE
ETTS G
BARR
IN R D
PEL L ER

BR

RD

BUCK INGH

TR

NE

BA L L S P O N D R

N
RI
BA

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IN
ER

DOWNS RD

RS

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E RD

01. Charedi Jewish girls who are looked after or


previously looked after.

RD

LD
WO
UTH
SO

RD

FARLEIGH RD

DALSTON
KINGSLAND

HCHU

LE

HU

MAT THIA

NORT

D
OA NSE RD
MA

SHELL
ESTATE

ESSEX
ROAD

O
HT
IG

RD

SHACKLEWELL

ST PAULS RD

HIGHBURY &
ISLINGTON

RE

AM

EE

CANONBURY

TON RD

LE

NT PLEASANT HILL
MOU

BRIGH

RD

B E LG R A D

H OW
ARD R

DRAYTON
PARK

ALLEN

The definition of Charedi is as follows:


A distinct group within the Jewish community
distinguished by cultural differences and strict
adherence to and practice of Orthodox Judaism.

Hackney Ward
Boundaries

RD

K GROVE

NORTHWOOD
ESTATE

PT

WARWIC

Haggerston

Hoxton
DE
SI

LA

RI

E VERING R

U P PE R C

GR

SP

WALFORD RD

IN

All pupils will need to abide by the principles and


ethics of the Charedi community.

Wick

Victoria

De Beauvoir

UPPER
CLAPTON

BURY
ON
LC

E SC EN T

RD

CR

ER

Chatham

Queensbridge

LD LANE
SPRINGFIE

RD

SPRINGFIELD
PARK

BROOKE RD

EV

RECTORY
ROAD

Hackney
Central

Dalston

RD

AL

HIGHBURY PARK

OL

NER

ES

SS

RD
LL
HI

BROOKE RD

TH

RD

L AN

BARBAULD RD

LI

JEN

RD

RD

D RD

SOLD

EEN

R
VO
NE
DY

WEBB
ESTATE

H WO L D R D A

BEN

N RD

NOR T

RY

AS TO

N
TO
ES
D

RD
OVE
ZEN
CA

R EC TO

KYN

O L D FI E L

CLIS

GR

ARSENAL

EW

AD

N
S TO K E

N CHURCH S T

NG
RI
SP

CO

YR

LK

CLISSOLD
PARK

G TO
IN

LE

STOKE
NEWINGTON

RD

RD

IP

FAWCETT
ESTATE

LYNMOUTH

ABNEY PARK
CEMETERY

IE

AK
YO

SH

LAMPARD GROVE

STOKE
NEWINGTON

B O U V ER

RD

A
W
EN
AV
CR
CL
AP
O
T

SUMMIT
ESTATE

PORTLAND AVE

STAMFORD
HILL
ESTATE

RD

LO

RO

AND

RD

KINGS CRES
ESTATE

S15

N CO

DARENTH RD

L
ATH

OD

ER

WO

OR R

NS

OW

SH

BR

HE

VE

RD

RD

RD

UN

LO

AR
IP P

HOLMLEIGH

STAMFORD
HILL

N
MA

RD

ET

CK

ON

AB

RC

RT

IZ

RD

DLET

LE

EL

RF

RK

RI

AL

BE

M YD

AMWELL
COURT
ESTATE

EE

IL

PA

E
N AV

O
D

RD

ST

RY

VE

A NE

D
S R
DA
K IL
ST.
HILLCOURT
ESTATE

QU

SB

GR

NL

DR

RIS

EE

IN

BL

AC

FINSBURY
PARK

EE

TER

ND

GR

UCES

LA

LT RD

IP

GLO

RT

HO

TH

SH

DR

FAIR

RD

AN

L A NE S

EX

EEN

AL

WEST
RESERVOIR

A P TO

RD

DUNSM U RE R D
BE

LO

GR

PO

LINTHORPE

CL

EAST
RESERVOIR

MANOR
HOUSE
PORTLAND
RISE
ESTATE

R T H FI E L D R

Lea Bridge
Stoke
Newington
Central Hackney
Kings Park
Clissold
Downs

STAMFORD
HILL
NO

ER

WN
RRY DO

SE
LO

G
W

RD

RS

UN

BE

TE

TH

WOOD

VE

SIS

BE

SE

VE

LI
N

D RD

RO

RD

YG

H
IC
W
AN
CR

RR

RD

OO

S
BE

DALE

KW

ANE
W

FINSBURY
PARK

D
OO

NS
RAVE

EG E R TO N

Cazenove

Brownswood Lordship

THYDON

HILLSIDE
ESTATE

AMHURST PARK

Springfield

D
RK R

ROO

GREEN L

VA

RT Y RD

W
AY

HARRINGAY
GREEN LANES

E AST

SE
HARRINGAY

If there are more applications than places available


to fill Year 7 and vacancies in Years 8 to 11 during
the school year 2014/15, the Governing Body will
admit pupils in accordance with the following
oversubscription criteria:

Unsuccessful applicants (0)


For the full admissions policy for 2014 entry
pleasse contact the school on 020 8802 841

118

hackney success in the making

27

Hackney Learning Trust, London Borough of Hackney

119

APPLICATION FOR TRANSFER FROM PRIMARY TO SECONDARY SCHOOL


IN SEPTEMBER 2014 (AND HACKNEY UTC FOR YEAR 9 PUPILS ONLY)
Hackney residents should complete this form only. If you live outside Hackney you must complete the form available from the Borough or
County Council within whose area you live. Please carefully read the guidance notes on the last page before completing the f orm. Completed
forms must be returned to the address shown at the end of the form, by 25th October 2013. If this form is received after the national
closing date of 31st October 2013, it will be treated as a late application. There is the easier option of applying on-line, go to:

www.eadmissions.org.uk

1. Childs Details
Childs
First Name(s)
Childs Date of
Birth

Childs
Home
Address

Surname/
Last Name

Gender

Boy

Girl

Post code:
Is the above address: Permanent?
Is the address:

Yes

Social housing

No

Owner occupier

Private landlord

Living with a relative

Please provide end date of tenancy agreement ........./........./..........

(This must be the address where the child normally lives between Monday and Friday and where the child benefit is received. If this is different from the parent/carer address, please give reasons for this. If parents share custody, this must be stated and both addresses shown).

Primary School
(Please also give address if school is outside Hackney)

IF YOUR CHILD HAS A STATEMENT OF SPECIAL EDUCATIONAL NEEDS, PLEASE DO NOT COMPLETE THIS FORM. THE SPECIAL
NEEDS AND ASSESSMENT TEAM SHOULD HAVE ALREADY SENT YOU A FORM TO COMPLETE.

2. Parents/Carers Details
Parent/Carer 1 Title (Please circle)

Mr

Mrs

Miss Ms Other

First name

Relationship
to Child
e.g father, mother

Surname

State address if
different

(If address is different from childs home address provide reasons for this)
Home Tel no.

Parent/Carer 2 Title (Please circle)

Mobile Tel

Mr

Mrs

Miss

Ms Other

First name

Relationship
to Child
e.g father, mother

Surname
Home Tel no.

E-mail Address

Mobile Tel

E-mail Address

Please turn over

Page 1

3. Secondary School Preferences


Please write the name of up to SIX schools which you wish to apply to. You must list the schools in the order you prefer them. You
should include all state-funded schools, academies and free schools for which you wish to apply, including any schools which are outside
of Hackney. You should include the details of any sibling (brother or sister) who is currently attending the school below. Applications for
private fee-paying schools must be made separately, direct to the school.

Borough or County
in which school is
located

Name of secondary school

First name, surname and


date of birth of any
sibling(s) already attending
the school

Medical/social
reasons

Preference 1

Tick box - if
documents are attached for
medical/social reasons
Preference 2

Tick box - if
documents are attached for
medical/social reasons
Preference 3

Tick box - if
documents are attached for
medical/social reasons
Preference 4

Tick box - if
documents are attached for
medical/social reasons
Preference 5

Tick box - if
documents are attached for
medical/social reasons
Preference 6

Tick box - if
documents are attached for
medical/social reasons

Staff child - Children of staff who work at the school /academy fulltime with at least two years continuous employment by the
Academy or where the Academy reasonably considers a member of staff has been recruited for a position for which there is a
demonstrable skill shortage.
Name of staff

School / academy name

Designation / Role

Start date

4. Other information
Reasons for preferences - Please give the reasons below for your application including any relevant background information, these
might include religious, philosophical or any other reasons.

Please continue on a separate sheet if necessary.


Exceptional Medical, Social or Other Grounds
These might include religious, philosophical or any other reasons. If you think that there are exceptional medical or social reasons why your
child should attend a particular school, you must provide professionally supported evidence with this application form. It is very important that
you check the admission criteria of each school for which you are applying to see if priority of admission can be given on this basis.

Please continue on a separate sheet if necessary.

5. Children in Care/Subject to a Child Protection Plan

This includes all looked after children and


children who were previously looked after, and are now subject to an adoption, residence, or special guardianship order.
Is this child Looked After by a Local Authority
If yes, please complete below:
Local authority
Social worker name

Is this child subject to a Child


Protection Plan (CPP)?
Contact number

Yes

No

Page 2

6. Declaration and Signature of Parent/Carer


I wish to apply for a place at each of the schools named in Section 3, and I have listed these schools in my order
of preference.
I certify that I am the person with parental responsibility for the child named above who lives in the Borough of
Hackney, and that the information given is true to the best of my knowledge and belief.
I understand that any false or deliberately misleading information given on this form and/or supporting information
may render this application invalid, or lead to the offer of a place being withdrawn.

Parents/Carers Signature

Date:

Information supplied will be used for registered purposes under the Data Protection Act 1998.

Checklist:
Before returning this form, please ensure that you have:
Read the accompanying notes and the secondary school admissions brochure Hackneys Secondary Schools
2014 Admissions Guide for Parents and/or the guide for the borough or county council in which each school for
which you are applying is located.
Checked that your childs address is within the Borough of Hackney.
Completed all relevant sections of this form.
Enclosed any supporting evidence (e.g. a letter from the family doctor/hospital consultant in support of any
medical or social claim)
Attached the relevant proofs of address (if you have changed address in the last year we
may request further evidence):

The original council Tax Bill for Year 2013/2014 or the original letter for Housing Benefit entitlement
An original utility bill received within the last two months (Gas, Electricity or Landline phone)
Completed supplementary forms MUST BE SENT DIRECTLY TO THE SCHOOL(S) CONCERNED. Please
check the admission arrangements for each school for which you are applying to see if a supplementary form is
required.

Page 3

GUIDANCE NOTES FOR PARENTS WHO WISH TO COMPLETE THE ATTACHED FORM
PUPILS TRANSFER FROM PRIMARY TO SECONDARY SCHOOL IN SEPTEMBER 2014
This form should not be completed in respect of a child who has a Statement of Special Educational Needs
All Hackney residents must complete this form. The national closing date is 31 October 2013, we would prefer all
th
completed forms returned to Hackney Learning Trust by 25 October 2013.
Hackney Learning Trust will be operating an Equal Preference system in accordance with the Pan-London Admissions
System, The Pan - London Schools Admissions System is used by all 33 London boroughs together with neighbouring
Counties.
All your preferences will get considered at the same time, regardless of its rank and whether the school is in another local
authority.
Section 1 Childs Details
All sections must be completed.
Section 2 Parents/Carers Details
Please ensure that the names of all responsible adults/carers are recorded on the form for the secondary school to
approach. Please note that when parents live separately, the application must be based on one address where the child
normally lives between Monday and Friday and where the child benefit is received. You should provide a letter of
explanation as to the living/care arrangements of your child if the address is different to the address that is normally used.
Hackney Learning Trust will withdraw offers of a place if it has been proven that false or misleading information has been
provided.
Section 3 Secondary School Preferences
You are entitled to name up to six secondary schools anywhere in London as your expressed preferences on this form
(except for private fee paying schools). Please ensure that you complete all the boxes that are applicable to each
preference.
Sibling Connection - It is important that you state if your child already has a brother or sister including step siblings,
(they must be living in the same household/ address between Monday to Friday) attending the preference school, as this
can give your child priority for admission.
Medical/Social reasons - Special consideration can be given to children who have a particular medical or social need.
This will need to be demonstrated by providing professionally supported documentation, and explains why this means
your child can only attend a particular school. These documents should be attached to this form or sent to us by Monday
6th January 2014.
Children of staff working at a school Some schools, as part of their criteria give priority to children of staff working in
their school. You will need to provide the member of staff details (who is the parent of the child) on the form in order to be
considered under this priority.
If applying to Cardinal Pole Catholic, Lubavitch Girls Senior Girls Jewish, The Urswick CE, Our Ladys Covent Catholic
and Yesodey Hatorah Girls Jewish Schools you must obtain a supplementary form for religious commitment. The
supplementary form must be completed by the Priest/Vicar/Pastor/Rabbi and is available directly from either Hackney
Learning Trust or the secondary schools. Completed supplementary forms must be sent directly to the school(s)
concerned.
Section 4 Other information
Please give reasons for preferences
Please write a supporting statement if you are considering to apply for medical/social priority and include any relevant
documents. Please note not all schools have this criterion.
Section 5 Children in Care/Subject to a Child Protection
If you are a Foster Carer, looking after a child who is in public care, this must be indicated on the form. Children in this
category will be given priority of admission to the community schools in Hackney in accordance with the criteria for
admission. If previously looked after proof of this must be supplied.
Please return this form to: Admissions Team, Hackney Learning Trust, 1 Reading Lane, E8 1GQ
Contact number: 020 8820 7501/7247

RECEIPT
Receipt of application:
Your application has been received by:

HLT Stamp

......................................................................................................
(To be signed by the Admissions officer receiving the form)
Name of Child ______________________________________
Date of Birth

/
Page 4

YESODEY HATORAH SENIOR GIRLS SCHOOL


EGERTON ROAD
LONDON N16 6UB
TEL: 020 8826 5500
FAX: 020 8826 5505

SUPPLEMENTARYINFORMATIONFORM

1.ChildsDetails

Childs
FirstNames

ChildsDate
OfBirth

Surname

ChildsHome
Address

Postcode

TelNo:FaxNo:

(Thismustbetheaddresswherethechildnormallylives)

I/WemeetthechareidicriteriaasprescribedbytheRabbinateoftheUnionofOrthodoxHebrew
Congregations.I/WeencloseawrittenconfirmationfromtheRabbinate.

Signatures:Parent(s)....

Daughter.

Date.

(Page1)

UnionofOrthodoxHebrewCongregations
140StamfordHill
LondonN166QT

02088026226

CONFIRMATIONOFCHAREIDISTATUS
(Thisformshouldnotbereturnedtotheschool)

1.ChildsDetails

Childs
FirstName(s)

ChildsDate
OfBirth

ChildsHome
Address

Surname
LastName

Postcode

Tel No:

Fax No:

Thismustbetheaddresswherethechildnormallylives.

PRIMARYSCHOOL
ATTENDED

2.Parent/GuardianDetails

Title(Pleasecircle)MrMrsOtherFirstName

Surname

Relationship
toChild

Addressif
Differentfrom
Childs

AcopyoftheChareidiEthosisattachedtothisform.ConfirmationofChareidiStatuswillonlybe
endorsedwhentheEthosissignedbyParent/GuardianandcountersignedbytheRabbinateofThe
UnionofOrthodoxHebrewCongregations.
(Page2)

TheUnionofOrthodoxHebrewCongragations

ChareidiEthosandRules

InorderfortheUnionofOrthodoxHebrewCongregationstomeetistargetsof
Parentsandfamiliesareexpectedtoadheretothestrictestlawsofandmoralvaluesatalltimes
assetoutbyHalocho.

CharedihomesdonothaveTVorotherinappropriatemedia,andparentswillensurethattheirchildren
willnothaveaccesstotheInternetandanyothermediawhichdonotmeetthestringentmoralcriteriaof
theCharedicommunity.Familiesmothersandgirls,willdressatalltimesinaccordancewiththestrictest
standardsofTznius(modesty)aslaiddownbytheRabbinateoftheUnionofOrthodoxHebrew
Congregations.Fathers,whereapplicable,overallmodeofdressstyleandcolourwillbeinaccordance
withtheChareidiethosoftheschool;mustbelongtoaChareidisynagogueandattendallprayerson
Sabbos,YomTovandthethreedailyprayers.Likewiseattendanceinsynagogueappropriatelydressed
i.e.jacketandhat.SettimesfordailyTorahstudysessions
areanessentialpartofachareidifamilyenvironment.

Pleasefindbelowashortsynopsis,furtherdetailsofwhichcanbefoundinRavEFalksbook,
.

TheethosoftheUnionofOrthodoxHebrewCongregationsexpectsparents/guardianstorefrainfrom
followingtrendswhichcontradictthespiritofandacceptedinthe,evenwhen
thesetrendsdonotclearlynegatetheHalochoorareacceptedelsewhere.

1. SKIRTS

Dressesandskirtsmaynotbeshorterthan10cm/4inchesbelowtheknees,alengththatensuresthe
kneesremaincoveredatalltimes.
Verylongskirtsarenotacceptedwithinourcommunityandassuchareforbidden

Verystraightorfigurehuggingskirtsare.

Aslitinaskirtordressisabsolutelyforbiddenevenifitiscompletelybelowtheknee.

2. SHEITELS

Sheitelsthatfallbelowthebaseoftheneckordonotconforminanyotherwaytothehalochos
outlinedinRavFalksseferareforbiddentobeworn.

HatfallsandBandfallsarenotinkeepingwiththestandardsof.Ifsnoodsarewornbecauseof
oneshairmustbecompletelycovered.

3. COLOURS

Thewearingofflashyorverybrightlycolouredclothingisforbidden.

4. NECKLINES

Blouses,jumpersordressesmustfitcloselytotheneck.Thisensuresthat:
a.Theshoulders
b.Thetopofthespineanddownwards
c.Thecollarboneandbelowarecovered

5. SLEEVESmustcovertheelbowsatalltimes

6. MAKEUPshouldbediscreet
7. CASUALCLOTHES
(Page3)

Casualgarmentsandfootwear,denimorotherclothingmadefromsimilarlytrendyfabricseg.
leatherandlycra,arerelatedtothecasualfreewayoflifeofthe andassucharenot
permitted.

8. TELEVISION/INTERNET

Thetelevisionisabsolutely.

Accesstotheinternetisforbidden.Likewise,otherunsuitablehomeentertainmentisstrictlynot
allowedbytheUnion.

I/Wehavereadandbelieveintheguidelinescontainedinthisdocumentandundertakethatmy/
ourfamilyandI/wewilladheretotherulesatalltimes.

I/WeunderstandthatifatanytimeI/wedonotconformtothestandardsetbytheRabbinate,
thisendorsementwillberescinded.

Signatures:Father/Guardian..
Mother/Guardian..

Daughter. Date..

Signature:

MemberoftheRabbinateoftheUnionofOrthodoxHebrewCongregations

Date:

(PleasedetachthissectionandreturntotheschoolwiththeSUPPLEMENTARYINFORMATIONFORM)

ChildsFirstName/s:

Surname:

ChildsDateofBirth:

ChildsHomeAddress:

I,herebyconfirmthattheparentsofthechildnamedabovemeetthecriteriaasprescribedbytheRabbinateof
theUnionofOrthodoxHebrewCongregations.

Signature:
(Pleaseprintname):

MemberoftheRabbinateoftheUnionofOrthodoxHebrewCongregations

Date:

(Page4)

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