C.C.B. School of Westchester

234 N. Central Avenue
Hartsdale, NY 10530

Phone: 914 - 683 - 0333
Fax: 914 - 683 - 7337
E-mail: westchesterccb@gmail.com

  
APPLICATION FORM
STUDENT'S NAME
SCHOOL NAME Public Private
GRADE
DATE OF BIRTH
ADDRESS
E-MAIL
TELEPHONE (H) (B)
(Cell)
SESSION Year  Spring  
  Summer
  Fall
TERMS / PERIODS Weeks     From To
PROGRAMS   Saturday Weekday 
  After school
  Summer school
HOURS 6Hrs 9:00AM-3:15PM (English & Math + Essay Writing)
3Hrs 9:00AM-11:55PM (English & Math)
3Hrs 12:25PM-3:15PM (Reading & Writing)



westchesterccb@gmail.com