College/Post-High School Information

CBS 2019-2020 College Kesher

Please fill out this form to provide us with information about your (or your child's) address and information at school. Thank you!

* Required

* YOUR email address - for confirmation email

* Student's Name

* Student's Email

* College / Program Name

* Address at which packages can be received

Address, continued (if additional line is needed)

* City

* State

* Zip / Postal Code

* Do you expect this to be your address for the entire 2019-2020 school year?

Please Select OneYesNo

Please explain and provide additional address and effective date, if possible

* Is the student planning to study abroad this year?

Please Select OneNoYes

Where and When?

Expected Year and Month of Graduation

Parent 1 First Name

Parent 1 Last Name

Parent 1 Email

Parent 2 First Name

Parent 2 Last Name

Parent 2 Email

Thu, September 21 2023 6 Tishrei 5784