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Providence Classical Academy is a non-profit organization with its own funding and mission, under the oversight of the elders of Sovereign Grace Church. The elders of Sovereign Grace appoint the directors of the academy and directly oversee chapels, catechesis, and the Biblical studies curriculum.

Enrollment is open to all Christians who agree with our Statement of Faith and who are members in good standing with a local church.

Providence Classical Academy Student Application

Fall 2021 Enrollment

Step 1 of 17

Name of Student*
First Middle Last
Name student should go by and learn to spell in the classroom:*
Gender*
Birth Date*
Grade Level Fall 2021*
Applying for*
- Day School (Monday-Friday)
- Short Week (Wednesday-Friday) *Note* Only available for Junior Kindergarten
Our Day School and Junior Kindergarten Programs have reached the enrollment cap for the 2021-2022 school year. If you would like to be placed on the waiting list, please complete this application form and we will contact you if seats become available. Refunds will be processed on October 1 if your student is not enrolled. Our Friday Enrichment program has reached the enrollment cap for the 2021-2022 school year. If you would like to placed on the waiting list, please contact us at [email protected]
Applying for*
- Day School (Monday-Friday)
- Short Week (Wednesday-Friday) *Note* Only available for Junior Kindergarten
- Homeschool Enrichment (Friday Only)

First Parent
Parent Name*
First Last
Marital Status of Parent*
Student lives with:*
Relationship to Student*
Home Address*
Street Address Address Line 2 City State ZIP Code
Email Address*
Home Phone*
Cell Phone*
Occupation*
Employer*
Work Address*
Street Address Address Line 2 City State ZIP Code
Work Phone*
Work Email*
Billing Party*
- Yes
- No
Is there another parent/guardian?*
- Yes
- No

Second Parent
Parent Name*
First Last
Marital Status of Parent*
Relationship to Student*
Home Address*
Same as previous

Street Address Address Line 2 City State ZIP Code
Email Address*
Home Phone
Cell Phone*
Occupation*
Employer*
Work Address*
Street Address Address Line 2 City State ZIP Code
Work Phone*
Work Email*
Billing Party*
- Yes
- No

Church Information
Home Church*
Are you a member of this church?*
- Yes
- No
How long have you been a member?*
Pastor's Name*
First Last
Pastor's Email*
Pastor's Phone*
Church Address*
Street Address Address Line 2 City State ZIP Code
Do both parents have the same home church?*
- Yes
- No

2nd Church Information
Home Church*
Are you a member of this church?*
- Yes
- No
How long have you been a member?*
Pastor's Name*
First Last
Pastor's Email*
Pastor's Phone*
Church Address*
Street Address Address Line 2 City State ZIP Code

Student Information
Does your child currently attend another local school?*
- Yes
- No
Current School*
Current Grade Level
Address*
Street Address Address Line 2 City State ZIP Code
Reason for Leaving*
Has your child ever attended another school?*
- Yes
- No
Former School*
Address*
Street Address Address Line 2 City State ZIP Code
Grade Completed*
Reason for Leaving*

Academics
What are your child's special interests, abilities, and academic strengths?*

Spiritual
What is your child's relationship to Jesus Christ?*

Concerns
Do you have any concerns regarding your child's current progress (academic, relational, health, behavior, etc)?*
- Yes
- No
If yes, please explain.
Has your student ever been suspended or expelled?*
- Yes
- No
If yes, please explain.

Learning Challenges
Has your child ever been tested or has anyone recommended that your student be tested for learning disabilities?*
- Yes
- No
If yes, please explain.
Has your child ever repeated a grade or received any special tutoring?*
- Yes
- No
If yes, please explain.

Health
Does your child (or has your child) taken prescribed medication for physical and/or behavioral/emotional issues such as ADHD, depression, asthma, allergies, migraines, etc? Please list and explain.*

Strengths/Weaknesses
Please list the strengths and weaknesses that you see in your child's moral character.*

Expectations
What expectations do you have of the education your child will receive at Providence Classical Academy?*

General Information
Why do you want your child to attend Providence Classical Academy?*
Why did you choose Providence Classical Academy over other private, public, or home schooling options?*
Would you be interested in volunteering in your child's classroom?*
- Yes
- No
- Maybe
Are you interested in before or after school day-care for your child?*
- Yes
- No
Please specify your preferred drop-off and pick-up times.
Please list any other information which you feel would be helpful to the Board of Directors.

Theological Agreement
Click on the link below to read the Apostle's Creed and Statement of Faith: View Apostle's Creed and Statement of Faith
Mother: Do you agree entirely with the Apostle's Creed and Statement of Faith?*
- Yes
- No
Father: Do you agree entirely with the Apostle's Creed and Statement of Faith?*
- Yes
- No

Section Break
We certify that this application is correct. We understand that the parents and the child will be interviewed by the School Board prior to enrollment.

We have read and agree with the mission and purpose statement of the school and have a basic understanding of the classical teaching method. We agree to cooperate with all the written policies of Providence Classical Academy. This is most important in the area of discipline, schoolwork standards, dress code policies as well as active communication with the respective teacher(s) and administration.

We understand that Providence Classical Academy is a startup and cannot guarantee that my child’s class will be offered in Fall of 2021 unless certain enrollment numbers are met.

We agree to be completely involved in the education of our children. We also understand that we must attend all scheduled Parent Meetings.
Do you agree with the terms listed above?*
- Yes
- No

Payment
Application Fee*
Price:
Total
$0.00
Credit Card
Card Details
Cardholder Name
Signature*
Comments
This field is for validation purposes and should be left unchanged.

Apply Online

Providence Classical Academy Student Application

Step 1 of 17

First Parent

Second Parent

Church Information

2nd Church Information

Student Information

Academics

Spiritual

Concerns

Learning Challenges

Health

Strengths/Weaknesses

Expectations

General Information

Theological Agreement

Section Break

Payment

About Us

Information

Academics

Admissions

Contact

Apply Online

Providence Classical Academy Student Application

Step 1 of 17

First Parent

Second Parent

Church Information

2nd Church Information

Student Information

Academics

Spiritual

Concerns

Learning Challenges

Health

Strengths/Weaknesses

Expectations

General Information

Theological Agreement

Section Break

Payment

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About Us

Information

Academics

Admissions

Contact

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