APPLICATION FOR STUDENT ADMISSIONS
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- Mercy Hill
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1 Dear Parent, Established in 1980, PCS is a parent-sponsored school whose mission is to assist parents in fulfilling their responsibility to provide a biblically based education to their children. PCS offers a Christ-centered educational program characterized by academic excellence. In addition to the Application for Admission that has an accompanying Pastoral Reference Form, this packet includes the Statement of Faith and the P.C.S. Fact Sheet. Should you have any questions or want more information, please contact the school office. May God bless you as you seek to raise your child in a way that is pleasing to Him. Sincerely, Glenn Fisher Headmaster APPLICATION FOR STUDENT ADMISSIONS STUDENT INFORMATION APPLICATION DATE: Student s Full Name: Parent/Guardian Name(s): Legal Residence: Mailing Address: Primary phone number: Secondary phone number: Student Date of Birth: Student Place of Birth: EDUCATIONAL INFORMATION Grade last attended: Entering Grade: School(s) attended previous year: Address: Teacher: Has your child received ever had a 504/IEP? Yes No If yes, please explain: Has your child ever repeated a grade? Yes No If yes, which grade? 1
2 CHURCH INFORMATION Is your family presently a member in good standing in a local church? Mom: Yes No Dad: Yes No Family Church Name: Pastor: Address: Telephone: Please have your pastor (or other church leader if there is no pastor currently at your church) complete the enclosed Pastoral Reference Form and mail it back to us after completion. FAMLY INFORMATION Father Name: Occupation: Employer: Business Telephone: Names of Brothers/Sisters Mother Name: Occupation: Employer: Business Telephone: Ages PLEASE ANSWER THE FOLLOWING QUESTIONS: 1. Who is Jesus Christ and what do you believe about him? 2. Why do you want your child to attend Penobscot Christian School? 3. What are your goals for your child?
3 In making this application for admission we understand that.. 1. All new students applying for grades K-8 are tested by PCS staff before acceptance and that the testing fee of $25 is nonrefundable and must be included with the application. The administration has full responsibility for grade placement. 2. Our cooperation is expected in: (a) regular tuition payment, (b) practical help, (c) faithful prayer, and (d) special gifts as able. 3. Our child will go on scheduled field trips and other school activities unless the school is notified otherwise. 4. The school reserves the right to dismiss any student who does not respect its spiritual standards or cooperate in the educational process. 5. The school reserves the right to dismiss any student whose parent(s) or legal guardian(s) does not respect its spiritual standards, cooperate in the educational process, follow Biblical procedures for conflict resolution, or that does not fulfill the financial and other obligations (including church attendance) made to the school upon enrollment. 6. Drawing on Biblical instruction in Matthew 18, the P.C.S. Handbook states, Parents who do have questions, concerns, or problems relating to their child or the classroom must first bring these concerns to the attention of the classroom teacher. As brothers and sisters in Christ, both parents and teachers have an obligation to one another to address concerns quickly and directly. Should resolution prove to be impossible, parents and teachers should seek the counsel of the headmaster. In addition, discussion of problems and conflicts with parties inside or outside of the school not directly involved in the resolution should be avoided. As Christians we are required by Scripture to avoid gossip and exhaust all biblical means possible to resolve conflicts and restore broken relationships. Ephesians 4:31-32, Get rid of all bitterness, rage and anger, brawling and slander, along with every form of malice. Be kind and compassionate to one another, forgiving each other, just as in Christ God forgave you. Please initial to indicate your understanding and agreement: Yes (initials) Yes (initials) Statement of Faith 1. Man s chief purpose is to glorify God and enjoy Him forever. 2. The only infallible authority of faith and life is the inspired, infallible, inerrant Word of God, the Bible. 3. There is one God existing in three persons: God the Father, God the Son, and God the Holy Spirit. 4. The universe, including man, is the creation of God and is preserved and governed by his providence. 5. Man was created good, but by sinning against God, fell into misery, condemnation and death. 6. In his sovereign grace and mercy, God provided redemption through the Lord Jesus Christ, who, being the eternal Son of God, became man, lived a life of perfect righteousness, died on the cross to atone for man s sin, arose from the grave and ascended into heaven that believers might be delivered from judgement, restored to fellowship with God, and called to lives of obedient service. 7. God s plan for this world, as revealed in the Bible, includes the personal return of Jesus Christ, the final judgment of the just and the unjust, the resurrection of the just to eternal life, and the resurrection of the unjust to everlasting death.
4 Please initial the appropriate blanks for these statement, 1. Do you subscribe to the Statement of Faith? Yes (initials) Yes (initials) No (initials) Father or Guardian No (initials) Mother or Guardian 2. (If you marked Yes for number 1, please skip this question.) Even if you do not agree personally with the Statement of Faith, are you willing to have your child taught in accordance with it? Yes (initials) No (initials) Father or Guardian Yes (initials) No (initials) Mother or Guardian 3. Have you read and are you in full agreement with all the policies outlined in the P.C.S. Handbook? Yes (initials) No (initials) Father or Guardian Yes (initials) No (initials) Mother or Guardian 3. Do you agree to abide by all the other policies in the P.C.S. Handbook inasmuch as they apply to you, and do you agree to support the school s enforcement of the policies? Yes (initials) No (initials) Father or Guardian Yes (initials) No (initials) Mother or Guardian * If your child is entering PreK or K, please indicate whether or not he/she will need regular Aftercare, which days of the week, and whether or not you wish to pay for Aftercare as part of your tuition payments. Aftercare needed? If yes, which days of the week? Pay-as-you-go or part of tuition? When accepted by the school s administration and signed by parent or guardian this application becomes a binding contract for the school year beginning September 2, Father s/guardian s Signature Date: Mother s/guardian s Signature Date: NOTE: Penobscot Christian School does not discriminate against student applications on the basis of sex, race, color, or national origin.
5 FOR OFFICE USE ONLY Notes: Office Use Only Admission Accepted for admission by on Transcript requested Transcript Received Administrator s signature Registration Rec d by on Headmaster Initials Financial Office Initials Registration Total Check # Date of check
6 PASTORAL REFERENCE FORM Parents, please give this to your pastor to fill out. Your pastor may mail this directly to PCS, FAX it to us at , or may be given back to you to bring into the office. ** Dear Pastor, have made application for enrollment at our school for their child/children. Would you please take a moment to comment on the following questions and return this form to us as soon as possible so that their application may be processes promptly? Thank you for your help. Are the above members in good standing of your church? Yes Are they active and faithful in the ministry of your church? Yes No No Is there any other information that would be helpful to us as we consider their application? Pastor s Signature: Printed: Date: Church Name: Church Address: Church Phone Number: Church Address:
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