Request Information

Let The Hirsch Academy know that you are interested in learning about their school. Provide your information below to request this school's viewbook and application. Your request will typically be processed within 24 hours. If you have more specific questions for this school, please use our Email Schools form instead.

Notes for Prospective Students

To apply for admission to The Hirsch Academy, please submit the items that are listed below: Please send items 1, 2, 4 & 5 together. Your child’s current school may send the school records separately. !. A completed application form. Both parents or guardians must sign the application form. 2. A copy of the most recent Psychological Evaluation, Occupational Therapy Evaluation and Speech and Language Evaluation. 3. A copy of your child’s most recent school records (IEP, Teacher Evaluation or Report Card). 4. A photograph of your child. 5. $100.00 non-refundable application fee. Upon receipt of this information, the Hirsch Academy staff will review your application and will contact you for an interview. The interview process lasts approximately one hour and includes a parent meeting. Both parents are required to attend. Once the interview process is completed, decisions regarding admission will be made as soon as possible.

Student Information

Email:

Name of parent:

Student first name:

Student last name:

Student date of birth:

Student is:

Male

Female

Currently in grade:

Seeking entry for grade:

Target start date:

About the Student

Please briefly describe academic, athletic, and extracurricular interests of the student:

Address and Telephone Number

Home address:

City:

Country:

State:

Zip: (enter "N/A" if not applicable)

Phone:

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